Individual
DR. MICHAEL L MUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1187 MAIN AVE, STE. 1F, CLIFTON, NJ 07011-2252
(973) 546-6161
(973) 546-1708
Mailing address
1187 MAIN AVE, STE. 1F, CLIFTON, NJ 07011-2252
(973) 546-6161
(973) 546-1708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02610200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2906503
—
NJ
Enumeration date
03/29/2006
Last updated
07/13/2007
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