Provider Demographics
NPI:1538130604
Name:MINOFF, MICHAEL H (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:MINOFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:227 LAUREL RD
Mailing Address - Street 2:STE 300
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8303
Mailing Address - Country:US
Mailing Address - Phone:856-669-6050
Mailing Address - Fax:856-651-0794
Practice Address - Street 1:110 MARTER AVE
Practice Address - Street 2:STE 504
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3124
Practice Address - Country:US
Practice Address - Phone:856-642-6580
Practice Address - Fax:856-273-8372
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2012-07-11
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04419600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ033520N6GMedicare PIN
NJC57109Medicare UPIN