Individual
DR. TARA C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 615-3349
Mailing address
3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 615-3349
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD443884
PA
207RX0202X
Medical Oncology Physician
MD443884
PA
Other
Enumeration date
08/14/2008
Last updated
02/13/2020
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