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Individual

DEVASHIS A MITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 LYN MAR PLAZA, LYNDORA, PA 16045-1348
(724) 282-5244
(724) 282-5246
Mailing address
5 LYN MAR PLZ, LYNDORA, PA 16045-1348
(724) 282-5244
(724) 282-5246

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD070008L
PA
207RR0500X
Rheumatology Physician
ME165432
FL

Other

Enumeration date
09/22/2006
Last updated
03/21/2024
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