Individual
TRACEY E MONDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-6963
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD064037L
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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