Individual
MITCHELL S RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 N BRYN MAWR AVE # 171, BRYN MAWR, PA 19010-3304
(484) 431-4022
Mailing address
24 N BRYN MAWR AVE # 171, BRYN MAWR, PA 19010-3304
(484) 431-4022
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD040732E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD040732E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018616030001
—
PA
Enumeration date
10/11/2005
Last updated
03/07/2011
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