Doctor Name: | DR. MITCHELL A BARUCHIN |
NPI Number: | 1013973916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05999700 |
Business Practice Address: | 120 Franklin St Jersey City, NJ - 073072326 |
Business Phone Number: | 2012169791 |
Business Fax Number: | 2012161362 |
Mailing Address: | 120 Franklin St, JERSEY CITY |
State: | NJ |
Postal Code: | 073072326 |
Phone Number: | 2012169791 |
Fax Number: | 2012161363 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 25MA05999700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |