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: |