Mitra, Jesmin
Mitra, Jesmin is an individual health care provider with primary practice located at 540 Woodbourne Rd , Langhorne PA 19047-1835. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Mitra, Jesmin can be contacted via phone (215) 750-7771.Contact Information
Primary practice address
540 Woodbourne Rd
Langhorne PA 19047-1835
Phone: (215) 750-7771
Fax: (215) 750-6935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD024730E | Pennsylvania |
| Other Service Providers / Specialist | 174400000X | MD024730E | Pennsylvania |
Profile Details
| NPI number | 1346296324 |
|---|---|
| LBN Legal business name | Mitra, Jesmin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346296324 | NPPES |
| Pennsylvania | MEDICAID | 0015539280003 |
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