Individual
DAVID A MITNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 KEITH PL, GLEN ROCK, NJ 07452-3712
(201) 880-7575
(201) 880-7570
Mailing address
3 KEITH PL, GLEN ROCK, NJ 07452-3712
(201) 880-7575
(201) 880-7570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA57877
NJ
Other
Enumeration date
01/17/2007
Last updated
11/14/2022
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