Dmitry Mysh MD

NPI 1033105903 - Internal Medicine - 207RG0100X

NPI Details
NPI 1033105903
Gender Male
Enumeration Date 09/26/2005
Last Updated 01/29/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
376 LAFAYETTE RD
SUITE 101
SPARTA NJ, 07871, US
Phone (973) 579-3174
Fax (973) 579-2961
Business Location
376 LAFAYETTE RD
SUITE 101
SPARTA NJ, 07871, US
Phone (973) 579-3174
Fax (973) 579-2961
Toxanomy
Taxonomy Code 207RG0100X
License State New Jersey
License Number 25MA065097
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According to our database, Dmitry Mysh MD NPI is 1033105903, taxonomy code is 207RG0100X and license number is 25MA065097, license state is located at New Jersey. Dmitry Mysh MD physically located at 376 Lafayette Rd, Sparta NJ, 07871. NPI Number Dmitry Mysh MD has the Individual type.

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1033105903 NPI number is provided on an as is basis without warranty of any kind. 1033105903 is maintained by the National Plan & Provider Enumeration System. The contents of Dmitry Mysh MD are for informational purposes only.