Individual
MR. NICHOLAS MINICUCCI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 5TH ST, MIDLAND PARK, NJ 07432-1229
(201) 226-9104
(201) 587-0218
Mailing address
PO BOX 516, MIDLAND PARK, NJ 07432-0516
(201) 226-9104
(201) 587-0218
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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