Individual
ERIC MISTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
5865 CLAYTON AVE, PENNSAUKEN, NJ 08109-1351
(732) 575-1700
Mailing address
503 JUSTICE DR, MARLTON, NJ 08053-5346
(856) 340-8179
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
605596
NJ
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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