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Contact Information

MINA FAM, MD
446 JACK MARTIN BLVD
BRICK, NJ08724
 Phone: 732-840-4300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MINA FAM · (Male)

NPI Number 1659661338
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2011
Last updated 08/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10319400
  • PA License # MD458335
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
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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