Mitchell Joseph
Family Medicine in Cresson, PA. Individual provider (NPI-1).
NPI number1760452023
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1760452023
- Entity type
- Individual (NPI-1)
- Name
- Mitchell Joseph
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2006
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS004668L | PA | Yes |
Practice location
792 Gallitzin RdCresson, PA 16630-2213
Phone 814-886-8161
Mailing address
792 Gallitzin RdCresson, PA 16630-2213
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