Individual
DR. MIMI H PINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS012195
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101704005
—
PA
01
—
10170400502
AMERICHOICE OF PA
PA
01
—
1883321
HIGHMARK BLUE SHIELD
PA
01
—
231955165
INTERGROUP SERVICES
PA
01
—
2744908000
KHPE
PA
01
—
30033402
KEYSTONE MERCY
PA
01
—
9439954
PHCS
PA
01
—
OS012195
HEALTH PARTNERS
PA
01
—
PA7584
HEALTHNET
PA
Enumeration date
06/14/2006
Last updated
10/02/2012
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