Individual
VIPIN MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 LEAD AVE SE, ALBUQUERQUE, NM 87106-5215
(505) 224-7000
Mailing address
108 WYCKOFF AVE, WALDWICK, NJ 07463-1731
(973) 572-2860
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD2017-0002
NM
Other
Enumeration date
07/10/2010
Last updated
07/21/2022
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