Mindich, Bruce P
Mindich, Bruce P is an individual health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mindich, Bruce P can be contacted via phone (201) 447-8371.Contact Information
Primary practice address
223 N Van Dien Ave
Ridgewood NJ 07450-2726
Phone: (201) 447-8371
Fax: (201) 447-8658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA45953 | New Jersey |
Profile Details
| NPI number | 1396714051 |
|---|---|
| LBN Legal business name | Mindich, Bruce P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1396714051 | NPPES |
| New Jersey | MEDICAID | 0702609 |
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