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Individual

HAROLD L MIGNOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3701 MARKET ST, 6TH FL STE 640, PHILADELPHIA, PA 19104
(215) 662-2250
Mailing address
3701 MARKET ST, 6TH FLOOR STE 640, PHILADELPHIA, PA 19104-5502

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042328E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011859200012
PA
Enumeration date
07/04/2006
Last updated
03/11/2011
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