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Individual

DR. MINDY NESTAMPOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450
(201) 444-4499
Mailing address
332 RAMAPO VALLEY RD UNIT 615, OAKLAND, NJ 07436-7604
(201) 644-7700
(201) 644-7195

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA65972
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MA65972
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003728YYQ
PTAN
Enumeration date
10/27/2006
Last updated
03/18/2019
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