| Mino MD LLC | |
|
1 W Ridgewood Ave Ste 206 Paramus NJ 07652-2361 | |
| (917) 707-2354 | |
| Not Available |
| Full Name | Mino MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 W Ridgewood Ave Ste 206, Paramus, New Jersey |
| Authorized Official Name and Position | Toya Cornelious (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8563835101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mino MD LLC 2810 N Church St # 277990 Wilmington DE 19802-4447 | Mino MD LLC 1 W Ridgewood Ave Ste 206 Paramus NJ 07652-2361 Ph: (917) 707-2354 |
| NPI Number | 1184540361 |
|---|---|
| Provider Enumeration Date | 06/24/2026 |
| Last Update Date | 06/24/2026 |
| Certification Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184540361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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