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Contact Information

RANDY T MINTZ, MD
1105 LAUREL OAK RD STE 166
VOORHEES TOWNSHIP, NJ08043-4312
 Phone: 856-309-5869
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RANDY T MINTZ · (Male)

NPI Number 1265403984
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 10/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA04920000
  • NJ Medicaid 7847700
Hospital affiliation(s)
  • OUR LADY OF LOURDES MEDICAL CENTER - (Acute Care)
    1600 HADDON AVENUE
    CAMDEN, NJ 08103
  • VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY - (Acute Care)
    175 MADISON AVE
    MOUNT HOLLY, NJ 08060
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
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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