Individual
DR. CARL JOSEPH MINNITI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
174 DEMOCRAT RD, MICKLETON, NJ 08056-1236
(856) 423-0754
(856) 423-7508
Mailing address
174 DEMOCRAT RD, MICKLETON, NJ 08056-1236
(856) 423-0754
(856) 423-7508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA51205
NJ
207RH0003X
Hematology & Oncology Physician
Primary
MA51205
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707700
—
NJ
Enumeration date
06/27/2005
Last updated
05/07/2019
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