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NPI Code Detail

MEDICARE: ARIEL MINTZ

MEDICARE: ARIEL MINTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35.134492OH

General Provider Information

NPI Number : 1386030385
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL MINTZ
Provider Business Mailing Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 216-831-6611
Fax Number :
Provider Business Practice Location Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 216-831-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 02/03/2021

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Directions to “ ARIEL MINTZ ” Practice Location

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