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1174859250
ANGELA SUZANNE MITTMAN
PHILADELPHIA, PA
NPI
1174859250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MAO54173)
Enumeration Date
2009-10-26
Last Update Date
2012-05-22
Business Address
-- ANGELA SUZANNE MITTMAN PA
5800 RIDGE AVE
PHILADELPHIA, PA 19128-1737
Phone number: 215-487-4334
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Mailing Address
-- ANGELA SUZANNE MITTMAN PA
604 WILLIAMSBURG DR
BROOMALL, PA 19008-3427
Phone number: 484-620-2485
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