Mintz, Randy T
Mintz, Randy T is an individual health care provider with primary practice located at 1105 Laurel Oak Rd Ste 166 , Voorhees NJ 08043-4312. 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) 309-5869.Contact Information
Primary practice address
1105 Laurel Oak Rd Ste 166
Voorhees NJ 08043-4312
Phone: (856) 309-5869
Fax:
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 7th, 2024 - about 2 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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