Individual
BERJEES MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4 MCCUMBER LN, MIDDLETOWN, DE 19709-9366
(816) 225-0965
Mailing address
4 MCCUMBER LN, MIDDLETOWN, DE 19709-9366
(816) 225-0965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1-0010258
DE
390200000X
Student in an Organized Health Care Education/Training Program
LNMT191093
PA
Other
Enumeration date
08/10/2007
Last updated
01/10/2013
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