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Contact Information

JESSE MINTZ, MD
10 AUER CT STE D
EAST BRUNSWICK, NJ08816-5848
 Phone: 732-254-7100
 Fax: 732-254-7474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JESSE MINTZ · (Male)

NPI Number 1912124892
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 36152
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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