Organization
RANDA FAHIM MINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDA F MINA (PHYSICIAN)
60958742300
Entity
Organization
Contact information
Practice address
2087 KLOCKNER RD, HAMILTON, NJ 08690-3416
(609) 587-2300
(609) 587-8660
Mailing address
PO BOX 3007, HAMILTON, NJ 08619
(609) 587-2300
(609) 587-8660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029726
—
NJ
01
—
2517463
OXFORD
—
01
—
3K2605
HEALTHNET
—
01
—
40113
UNIVERSITY HEALTH PLAN
—
01
—
60019748
HORIZON NJ HEALTH
—
Enumeration date
02/05/2007
Last updated
11/03/2009
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