Individual
EDWARD LESTER MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
81 GRAND AVE, #1E, ENGLEWOOD, NJ 07631-3530
(201) 894-8431
(202) 889-6021
Mailing address
81 GRAND AVE, #1E, ENGLEWOOD, NJ 07631-3530
(201) 894-8431
(202) 889-6021
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004263-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01032291
—
NY
Enumeration date
02/06/2006
Last updated
07/09/2007
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