| Njfpg | |
|
6 Forest Ave Paramus NJ 07652-5241 | |
| (201) 587-7850 | |
| (201) 587-0707 |
| Full Name | Njfpg |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6 Forest Ave, Paramus, New Jersey |
| Authorized Official Name and Position | David A Mitnick (MD) |
| Authorized Official Contact | 2015877850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Njfpg 6 Forest Ave Paramus NJ 07652-5241 Ph: (201) 587-7850 | Njfpg 6 Forest Ave Paramus NJ 07652-5241 Ph: (201) 587-7850 |
| NPI Number | 1639221161 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639221161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA57877 (New Jersey) | Primary |
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