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Dr. Bruce P Mindich, MD
Specialist in Ridgewood, New Jersey
NPI 1396714051

Bruce P Mindich is a Specialist based in Ridgewood, NJ. Bruce P Mindich practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Bruce P Mindich is 1396714051 and holds a License No. MA45953 (New Jersey).

The current practice location address for Bruce P Mindich is 223 N Van Dien Ave, Ridgewood, NJ and can be reached out via phone at 201-447-8371 and via fax at 201-447-8658.

Location: 223 N Van Dien Ave, Ridgewood, NJ, 07450-2726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396714051
Provider Name
Bruce P Mindich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
223 N Van Dien Ave, Ridgewood, NJ, 07450-2726
Phone Number
201-447-8371
Fax Number
201-447-8658
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0702609 05 NJ
institution
Provider Business Practice Location Address Details
Address
223 N Van Dien Ave
City
Ridgewood
State
New Jersey
Zip
07450-2726
Phone Number
201-447-8371
Fax Number
201-447-8658
person
Provider Business Mailing Address Details
Address
223 N Van Dien Ave
City
Ridgewood
State
New Jersey
Zip
07450-2726
Phone Number
201-447-8371
Fax Number
201-447-8658
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA45953 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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