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Individual

JOHN G MEZOCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 NORTH 39TH STREET, WRIGHT SAUNDERS, 4TH FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9440
(215) 662-0609
Mailing address
51 NORTH 39TH STREET, WRIGHT SAUNDERS, 4TH FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9440
(215) 662-0609

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD038583E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010977560006
PA
Enumeration date
07/07/2006
Last updated
09/09/2015
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