Individual
PAUL D MITNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S 7TH AVE, STE 355, WEST READING, PA 19611-1410
(610) 376-7365
(610) 376-1320
Mailing address
301 S 7TH AVE, STE 355, WEST READING, PA 19611-1410
(610) 376-7365
(610) 376-1320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD017057E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006072380001
—
PA
Enumeration date
12/06/2005
Last updated
11/09/2010
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