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Individual

MARI MUMTA BATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2701 DEKALB PIKE, SUITE 108, NORRISTOWN, PA 19401-1852
(610) 272-7546
(610) 272-1064
Mailing address
2701 DEKALB PIKE, SUITE 108, NORRISTOWN, PA 19401-1852
(610) 272-7546
(610) 272-1064

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS014151
PA
207Q00000X
Family Medicine Physician
OS014151
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102850788
PA
Enumeration date
05/12/2008
Last updated
12/12/2013
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