Individual
DR. EMMANUEL MICHAEL MAHLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BARR HARBOR DR, FIVE TOWER BRIDGE, SUITE 800, WEST CONSHOHOCKEN, PA 19428-2998
(610) 943-3564
Mailing address
PO BOX 1047, WHITEHOUSE STATION, NJ 08889-1047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05887700
NJ
Other
Enumeration date
05/03/2010
Last updated
11/28/2013
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