Suresh Kumar Misra M.D.

NPI 1013228964 - Internal Medicine - 207R00000X

NPI Details
NPI 1013228964
Gender Male
Enumeration Date 06/25/2010
Last Updated 06/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3509 N BROAD ST
BOYER PAVILION, 2ND FLOOR
PHILADELPHIA PA, 19140-4105, US
Phone (215) 707-3808
Fax (215) 707-5886
Business Location
954 N 5TH ST
APT. 2R
PHILADELPHIA PA, 19123-1402, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT198274
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According to our database, Dr. Suresh Kumar Misra M.D. NPI is 1013228964, taxonomy code is 207R00000X and license number is MT198274, license state is located at Pennsylvania. Suresh Kumar Misra M.D. physically located at 3509 N Broad St, Philadelphia PA, 19140-4105. NPI Number Suresh Kumar Misra M.D. has the Individual type.

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1013228964 NPI number is provided on an as is basis without warranty of any kind. 1013228964 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh Kumar Misra M.D. are for informational purposes only.