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Dr. Josefa Mundo, MD
Military Health Care Provider in North Charleston, South Carolina
NPI 1922079433

Josefa Mundo is a Military Health Care Provider based in North Charleston, SC. Josefa Mundo practices in North Charleston, SC and has the professional credentials of MD. The NPI Number for Josefa Mundo is 1922079433 and holds a License No. 5849 (South Carolina).

The current practice location address for Josefa Mundo is 3600 Rivers Ave, North Charleston, SC and can be reached out via phone at 732-272-6307.

Location: 3600 Rivers Ave, North Charleston, SC, 29405-7747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922079433
Provider Name
Josefa Mundo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3600 Rivers Ave, North Charleston, SC, 29405-7747
Phone Number
732-272-6307
Fax Number
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3600 Rivers Ave
City
North Charleston
State
South Carolina
Zip
29405-7747
Phone Number
732-272-6307
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Rivers Ave
City
North Charleston
State
South Carolina
Zip
29405-7747
Phone Number
732-272-6307
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
5849 ()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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