person
Marylyn Ann Mudrick, MD029229E
General Practice Physician in Brookhaven, Pennsylvania
NPI 1639132145

Marylyn Ann Mudrick is a General Practice Physician based in Brookhaven, PA. Marylyn Ann Mudrick practices in Brookhaven, PA and has the professional credentials of MD029229E. The NPI Number for Marylyn Ann Mudrick is 1639132145 and holds a License No. MD029229E (Pennsylvania).

The current practice location address for Marylyn Ann Mudrick is 3303A Edgmout Ave, Brookhaven, PA and can be reached out via phone at 610-872-0565 and via fax at 610-872-4478.

Location: 3303A Edgmout Ave, Brookhaven, PA, 19015-2801
person
Provider Profile Details
NPI Number
1639132145
Provider Name
Marylyn Ann Mudrick
Credential
MD029229E
Provider Entity Type
Individual
Gender
Female
Address
3303A Edgmout Ave, Brookhaven, PA, 19015-2801
Phone Number
610-872-0565
Fax Number
610-872-4478
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01500441 05 PA
5023294 01 AETNA
0554265001 01 KEYSTONE BA ST
institution
Provider Business Practice Location Address Details
Address
3303A Edgmout Ave
City
State
Zip
19015-2801
Phone Number
610-872-0565
Fax Number
610-872-4478
person
Provider Business Mailing Address Details
Address
3303A Edgmout Ave
City
State
Zip
19015-2801
Phone Number
610-872-0565
Fax Number
610-872-4478
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD029229E (Pennsylvania)
Definition
Definition to come...
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