Individual
RANDI LYNN MITTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
54 FRIENDS LN STE 114, NEWTOWN, PA 18940-3403
(215) 431-4847
(215) 295-2704
Mailing address
301 FRAZER DR, YARDLEY, PA 19067-4763
(267) 291-4220
(215) 295-2704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD069088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755217
—
PA
Enumeration date
07/21/2006
Last updated
05/12/2022
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