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Individual

MITA ZAHRA ESTRADA CO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 TOWN CENTER DR STE 152, LANGHORNE, PA 19047-1793
(215) 741-3510
(773) 665-3401
Mailing address
825 TOWN CENTER DR STE 152, LANGHORNE, PA 19047-1793
(215) 741-3510
(773) 665-3401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036155939
IL
207R00000X
Internal Medicine Physician
A160905
CA
207RN0300X
Nephrology Physician
19269
ND
207RN0300X
Nephrology Physician
Primary
MD475173
PA

Other

Enumeration date
06/24/2016
Last updated
04/26/2023
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