Individual
BERTRAND NJUME MUKETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 STOCK ST STE 3, HANOVER, PA 17331-2276
(717) 637-1738
(717) 646-7430
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 637-1738
(717) 646-7430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53880
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
MD467014
PA
207RI0011X
Interventional Cardiology Physician
53880
AZ
207UN0901X
Nuclear Cardiology Physician
MD467014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103639194
—
PA
Enumeration date
08/01/2007
Last updated
07/21/2022
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