Individual
MR. CARLOS M MORALES MITTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1207 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4101
(215) 851-1822
(215) 851-1775
Mailing address
2757 CORAL ST, PHILADELPHIA, PA 19134-4039
(215) 459-7301
(215) 851-1775
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101708256
—
PA
Enumeration date
06/09/2009
Last updated
06/09/2009
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