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Individual

DR. DONALD JOSEPH MITTICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2 SCARLET OAK DRIVE, LAFAYETTE HILL, PA 19444
(610) 825-5282
(610) 825-8206
Mailing address
2 SCARLET OAK DRIVE, LAFAYETTE HILL, PA 19444
(610) 825-6141
(610) 825-8206

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002422L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0061129000
IBC
PA
Enumeration date
10/25/2006
Last updated
07/08/2007
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