Organization
MITRA ARTHRITIS & OSTEOPOROSIS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVASHIS MITRA MD (OWNER)
(724) 282-5244
Entity
Organization
Contact information
Practice address
5 LYN MAR PLAZA, LYNDORA, PA 16045-1348
(724) 282-5244
(724) 282-5246
Mailing address
PO BOX 487, LYNDORA, PA 16045-0487
(724) 282-5244
(724) 282-5246
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019488860004
—
PA
Enumeration date
09/28/2006
Last updated
08/17/2009
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