Individual
DR. MINA FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
446 JACK MARTIN BLVD, BRICK, NJ 08724
(732) 840-4300
Mailing address
446 JACK MARTIN BLVD, BRICK, NJ 08724-7733
(732) 840-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA10319400
NJ
208800000X
Urology Physician
MD458335
PA
Other
Enumeration date
04/14/2011
Last updated
08/30/2018
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