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Individual

DR. MANDELL J MUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
600 RED HILL RD, ASTON, PA 19014-1201
(610) 558-6447
(610) 558-6448
Mailing address
600 RED HILL RD, ASTON, PA 19014-1201
(610) 558-6447
(610) 558-6448

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS002096L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-1914684
TAX ID
PA
Enumeration date
07/31/2006
Last updated
05/06/2008
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