Organization
SATISH K. MITTAL
Active
Organization
SATISH K. MITTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATISH K MITTAL M.D. (PHYSICIAN)
(856) 691-4800
Entity
Organization
Contact information
Practice address
2950 COLLEGE DR STE 1C, SUITE # 1-C, VINELAND, NJ 08360-6933
(856) 691-4800
(856) 691-4801
Mailing address
112 RUNNING DEER TRL, PITTSGROVE, NJ 08318-4186
(856) 691-4800
(856) 691-4801
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA03870400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192601
—
NJ
Enumeration date
07/17/2006
Last updated
02/05/2014
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