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Individual

DR. MITHILA JEGATHESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 MILFORD ST STE 201, SALISBURY, MD 21804-6959
(410) 543-1616
(410) 543-8497
Mailing address
106 MILFORD ST STE 201, SALISBURY, MD 21804-6959
(410) 543-1616
(410) 543-8497

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0076657
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
09/21/2008
Last updated
03/17/2018
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