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Individual

J. HAROLD MOHLER

Active
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Individual

J. HAROLD MOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021856E
PA
207RN0300X
Nephrology Physician
021856E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006942060002
PA
01
01324501
CAPITAL BLUE CROSS PROV#
PA
01
106758
BLUE SHIELD PROVIDER #
PA
01
23656
GEISINGER HEALTHPLAN PROV
PA
01
695177
AETNA US HEALTHCARE PROVI
PA
01
73008804002
CIGNA PROVIDER NUMBER
PA
Enumeration date
06/08/2005
Last updated
06/16/2010
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