Doctor Name: | DR. JESMIN MITRA |
NPI Number: | 1346296324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD024730E |
Business Practice Address: | 1203 Langhorne Newtown Rd #225, St Clare Bldg Langhorne, PA - 190471209 |
Business Phone Number: | 2157507771 |
Business Fax Number: | 2157506935 |
Mailing Address: | 1203 Langhorne Newtown Rd, #225, St Clare Bldg LANGHORNE |
State: | PA |
Postal Code: | 190471209 |
Phone Number: | 2157507771 |
Fax Number: | 2157506935 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD024730E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |