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Individual
MANOJ K MITTAL
Active
Individual
MANOJ K MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD423827
PA
208000000X
Pediatrics Physician
MD423827
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD423827
PA
Other
Enumeration date
07/21/2006
Last updated
12/05/2013
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