Individual
MS. IRENE MBUNUE MINANG MBIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1951
(570) 214-9585
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54964
MN
208M00000X
Hospitalist Physician
Primary
MD459574
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
01/07/2010
Last updated
11/17/2023
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