Individual
MITCHELL I. CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S 10TH ST, 480 MAIN BUILDING, PHILA, PA 19107-5244
(215) 955-8900
(215) 955-5245
Mailing address
132 S 10TH ST, 480 MAIN BUILDING, PHILA, PA 19107-5244
(215) 955-8900
(215) 955-5245
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD029191E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013981880005
—
PA
05
—
4559401
—
NJ
Enumeration date
03/20/2006
Last updated
07/16/2024
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