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Individual

DR. JESMIN MITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
540 WOODBOURNE RD, LANGHORNE, PA 19047-1835
(215) 750-7771
(215) 750-6935
Mailing address
1203 LANGHORNE NEWTOWN RD, #225, ST CLARE BLDG, LANGHORNE, PA 19047-1209
(215) 750-7771
(215) 750-6935

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD024730E
PA
207VG0400X
Gynecology Physician
Primary
MD024730E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015539280003
PA
Enumeration date
05/25/2006
Last updated
04/26/2021
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