Individual
DR. THEODORE G MUSHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3319 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-4226
(610) 356-5911
(610) 648-0423
Mailing address
3319 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-4226
(610) 356-5911
(610) 648-0423
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC1679L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC1679L
PA
Other
Enumeration date
06/06/2006
Last updated
10/12/2011
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