Individual
MARK MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 LAUREL OAK RD, SUITE E-2, VOORHEES, NJ 08043-3506
(856) 346-0005
Mailing address
1001 LAUREL OAK RD, SUITE E-2, VOORHEES, NJ 08043-3506
(856) 346-0005
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA04721900
NJ
2084P0005X
Neurodevelopmental Disabilities Physician
25MA04721900
NJ
Other
Enumeration date
01/03/2006
Last updated
12/24/2007
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