Individual
DR. PAMELA ANNE MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, WOOD CENTER 1ST FLOOR, PHILADELPHIA, PA 19104-4319
(215) 776-9571
Mailing address
3401 CIVIC CENTER BLVD, WOOD CENTER 1ST FLOOR, PHILADELPHIA, PA 19104-4319
(215) 776-9571
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD449528
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2007
Last updated
01/27/2014
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