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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1265403984 NPPES
New Jersey MEDICAID 7847700

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