Individual
DR. MINA FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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