Individual
JANNINE JUENGST MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3480
(201) 894-5244
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3480
(201) 894-5244
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
25MB065058
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01985675
—
NY
Enumeration date
06/09/2006
Last updated
07/30/2007
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