Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA05999700 | NJ |
NPI | 1013973916 |
---|---|
Provider Name | Dr. Mitchell A Baruchin |
First Address | Jersey City, NJ 07307-2326 |
Second Address | Jersey City, NJ 07307-2326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 11/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5657601 | (05) | NJ |
E94775 | (02) | NJ |