Individual
MANOJ K MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 CORPORATE DR, EASTON, PA 18045-2670
(484) 526-6545
Mailing address
41 CORPORATE DR, EASTON, PA 18045-2670
(484) 526-6545
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD043211E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487850
—
PA
05
—
6291902
—
NJ
Enumeration date
10/03/2006
Last updated
11/17/2025
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