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Individual

MR. ILIYA D MITEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 FRONTAGE RD, HAMPTON, NJ 08827-4001
(908) 735-2594
Mailing address
61 FRONTAGE RD, HAMPTON, NJ 08827-4001
(908) 735-2594

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08265600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0169943
NJ
Enumeration date
08/06/2007
Last updated
07/28/2011
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