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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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