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
Fax: (215) 750-6935
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346296324 NPPES
Pennsylvania MEDICAID 0015539280003

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