Individual provider · Type 1 NPI

Mikel Shea Ehntholt

Neurology Physician · Camden, NJ

NPI number 1790139780 Active

Practice location

1600 Haddon Ave Fl 6
Camden, NJ 08103-3101

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Neurology Physician Primary 2084N0400X25MA11936200 (NJ)
Psychiatry Physician 2084P0800X25MA11936200 (NJ)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1790139780

Mikel Shea Ehntholt's National Provider Identifier is 1790139780, issued on Apr 16, 2016. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Camden, NJ. The record was last updated on Sep 18, 2024.