Individual
ERVIN MITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5000
Mailing address
14 GRANDE BLVD, DELRAN, NJ 08075-1376
(267) 974-1889
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR12158700
NJ
Other
Enumeration date
11/30/2011
Last updated
12/02/2011
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