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Individual

DR. MILTON J MINTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
13 MICHAEL CT, DOVER, NJ 07801-3714
(973) 216-4009
(973) 625-0721
Mailing address
13 MICHAEL CT, DOVER, NJ 07801-3714
(973) 216-4009
(973) 625-0721

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB15263
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00079359
RAILROAD MEDICARE
NJ
Enumeration date
03/09/2006
Last updated
02/17/2011
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