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Dr. Mitchell Lee Shellman, MD
General Practice Physician in Philadelphia, Pennsylvania
NPI 1851977680

Mitchell Lee Shellman is a General Practice Physician based in Philadelphia, PA. Mitchell Lee Shellman practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Mitchell Lee Shellman is 1851977680 and holds a License No. (Pennsylvania).

The current practice location address for Mitchell Lee Shellman is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-2000.

Location: 3401 N Broad St, Philadelphia, PA, 19140-5189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851977680
Provider Name
Mitchell Lee Shellman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 N Broad St, Philadelphia, PA, 19140-5189
Phone Number
215-707-2000
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT226019 05 PA
208D00000X 05 ID
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5189
Phone Number
215-707-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19140-5189
Phone Number
215-707-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MT226019 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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