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Individual

DR. MITCHELL A ANOLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2310 E ALLEGHENY AVE, PHILA, PA 19134-4401
(215) 427-1111
(215) 423-7799
Mailing address
2310 E ALLEGHENY AVE, PHILA, PA 19134-4401
(215) 427-1111
(215) 423-7799

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD015618E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0057093000
KEYSTONE
PA
01
025846
PTAN MEDICARE
PA
05
0588642
PA
01
070011814
RAILROAD MEDICARE
01
134092
BLUE SHIELD
PA
01
30607
KEYSTONE MERCY
PA
01
4329255
AETNA
PA
01
7750486001
CIGNA
01
P1478461
OXFORD
PA
Enumeration date
03/02/2006
Last updated
06/29/2010
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