Brezel, Mitchell Howard

Brezel, Mitchell Howard is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brezel, Mitchell Howard can be contacted via phone (609) 677-9729.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Phone: (609) 677-9729
Fax: (609) 652-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA06055700 New Jersey

Profile Details

NPI number 1104939305
LBN Legal business name Brezel, Mitchell Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104939305 NPPES
New Jersey MEDICAID 6857205
New Jersey Other P00758328
New Jersey Other P00847757
New Jersey Other 300081004

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