Mintz, Randy T
Mintz, Randy T is an individual health care provider with primary practice located at 2309 E Evesham Rd Suites 201 & 202, Voorhees NJ 08043-1559. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mintz, Randy T can be contacted via phone (856) 325-5400.Contact Information
Primary practice address
2309 E Evesham Rd Suites 201 & 202
Voorhees NJ 08043-1559
Phone: (856) 325-5400
Fax: (856) 325-5416
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA04920000 | New Jersey |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25MA04920000 | New Jersey |
Profile Details
NPI number | 1265403984 |
---|---|
LBN Legal business name | Mintz, Randy T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Oct 19th, 2020 - about 4 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 | 1265403984 | NPPES |
New Jersey | MEDICAID | 7847700 |
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