Individual
MITCHELL BOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
181 N BROADWAY, PENNSVILLE, NJ 08070-1550
(856) 678-9002
(856) 678-4027
Mailing address
181 N BROADWAY, PENNSVILLE, NJ 08070-1550
(856) 678-9002
(856) 678-4027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB044548
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1218905
—
NJ
01
—
P00712354
RR MEDICARE
NJ
Enumeration date
07/20/2005
Last updated
11/30/2016
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