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Contact Information

MITCHELL S MEDNICK, DO
1514 E MOYAMENSING AVE
PHILADELPHIA, PA19147
 Phone: 615-345-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MITCHELL S MEDNICK · (Male)

NPI # 1164648846
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/18/2007
Last updated 08/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # 0S006362E
  • PA License # OS006362E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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