Individual
NIDHI MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 LIBERTY WAY, ROSELAND, NJ 07068-2400
(646) 428-5161
Mailing address
7404 5TH AVE, BROOKLYN, NY 11209-2704
(718) 539-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01452500
NJ
Other
Enumeration date
03/06/2023
Last updated
04/04/2023
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