Individual
MINELA AVDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FOREST AVE, PARAMUS, NJ 07652-5429
(201) 490-5158
Mailing address
300 FOREST AVE, PARAMUS, NJ 07652-5429
(201) 490-5158
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
95028910
CA
2084P0800X
Psychiatry Physician
Primary
26NJ01300400
NJ
Other
Enumeration date
05/10/2022
Last updated
10/03/2025
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