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Individual

CHANA MITTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
541 PASSAIC AVE, CLIFTON, NJ 07014-1211
(973) 778-6386
Mailing address
541 PASSAIC AVE, CLIFTON, NJ 07014-1211
(973) 778-6386

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/04/2015
Last updated
09/04/2015
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