Most Relevant Information
Provider Data
| NPI Number: | 1003550278 |
| Provider Name: | RANDY MINTZ RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 840538 |
Most Important Dates
| Enumeration Date: | 04/25/2022 |
| Last Updated: | 04/25/2022 |
Provider Practice Location
16 MILL ROAD EXT
WOODCLIFF LAKE
NJ
076778142
Practice Location Phone/Fax
| Phone: | 2018031871 |
| Fax: |
Provider Mailing Location
16 MILL ROAD EXT
WOODCLIFF LAKE
NJ
076778142
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |