Individual
DR. JESSE MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 AUER CT STE D, EAST BRUNSWICK, NJ 08816-5848
(732) 254-7100
(732) 254-7474
Mailing address
10 AUER CT STE D, EAST BRUNSWICK, NJ 08816-5848
(732) 254-7100
(732) 254-7474
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
36152
NJ
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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