RUDOLPH I MINTZ, MD, Gynecology KINSTON, NC

Contact Information

RUDOLPH I MINTZ, MD

400 GLENWOOD AVE
SUITE 11
KINSTON, NC 28501

Phone: 252-527-5500
Fax: 252-527-4875
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for RUDOLPH I MINTZ · (Male)

NPI #	`1366495236`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/19/2006
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	NC License # 15536 NC Medicaid 8953539
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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