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Individual

DR. JOSE ENRIQUE MISAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4310 LONDONDERRY RD, SUITE 100, HARRISBURG, PA 17109-5300
(717) 221-5940
(717) 233-2821
Mailing address
2494 BERNVILLE RD, STE G02, READING, PA 19605-9466

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD023275E
PA
207VX0201X
Gynecologic Oncology Physician
Primary
MD023275E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008072840008
PA
Enumeration date
11/08/2005
Last updated
04/22/2021
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