Individual
MITESWAR PUREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E TOWNSHIP LINE RD, FIRST FLOOR, HAVERTOWN, PA 19083-5733
(484) 458-1000
(484) 458-1001
Mailing address
PO BOX 33465, BELFAST, ME 04915-0612
(888) 985-2727
(856) 779-0211
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA09172000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD427899
PA
208VP0014X
Interventional Pain Medicine Physician
25MA09172000
NJ
208VP0014X
Interventional Pain Medicine Physician
MD427899
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10506600001
—
PA
Enumeration date
06/06/2006
Last updated
04/18/2023
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