Individual
DR. JEENA MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB, MPH
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-6400
Mailing address
3509 N BROAD ST, BOYER PAVILION SUITE 206, PHILADELPHIA, PA 19140
(215) 707-6400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT230778
PA
207R00000X
Internal Medicine Physician
MT230778
PA
Other
Enumeration date
05/31/2024
Last updated
04/03/2025
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