Mutizwa, Misha Matongo
Mutizwa, Misha Matongo is an individual health care provider with primary practice located at 16 Woodbine Lane , Danville PA 17822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mutizwa, Misha Matongo can be contacted via phone (570) 271-8050.Contact Information
Primary practice address
16 Woodbine Lane
Danville PA 17822
Phone: (570) 271-8050
Fax: (570) 271-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A126572 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD452484 | Pennsylvania |
Profile Details
| NPI number | 1154559375 |
|---|---|
| LBN Legal business name | Mutizwa, Misha Matongo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Aug 27th, 2020 - 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.
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