TITO K MANTILLA

PHILADELPHIA, PA
NPI1205498318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD478971)
Enumeration Date2019-06-28
Last Update Date2022-09-15
Business Address
Dr. TITO K MANTILLA M.D.
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Phone number: 215-456-7890
Mailing Address
Dr. TITO K MANTILLA M.D.
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number: