Individual
KRISTOPHER MINCIELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
608 SHADOW WAY, BRICK, NJ 08724-4736
(732) 245-3190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12153500
NJ
Other
Enumeration date
03/24/2021
Last updated
10/22/2024
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