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1205498318
TITO K MANTILLA
PHILADELPHIA, PA
NPI
1205498318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD478971)
Enumeration Date
2019-06-28
Last Update Date
2022-09-15
Business Address
Dr. TITO K MANTILLA M.D.
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Phone number: 215-456-7890
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Mailing Address
Dr. TITO K MANTILLA M.D.
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number:
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