Individual
PATRICIA MUTHAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 CONESTOGA RD, BLDG#1, SUITE 104, BRYN MAWR, PA 19010-1352
(610) 525-6400
Mailing address
344 GLENN ROSE CIR, KING OF PRUSSIA, PA 19406-1784
(856) 220-4585
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD423543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0423543I
MEDICAL LICENSE
PA
Enumeration date
01/04/2007
Last updated
03/07/2023
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