Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYLYN ANN MUDRICK, MD029229E
Active Sole ProprietorMARYLYN ANN MUDRICK, MD029229E is a General Practice healthcare provider located in BROOKHAVEN, Pennsylvania. NPI 1639132145 is currently active in the NPPES registry. Verify at CMS.
General Practice · BROOKHAVEN, PA
Registration Details
- NPI Number
- 1639132145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2006 (20.384175050028 yrs)
- Last Updated
- Dec 31, 2024
- License
-
MD029229E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3303A EDGMOUT AVEBROOKHAVEN, PA, 190152801Browse PA providers · Browse ZIP 19015
- Phone
- 6108720565
- Fax
- 6108724478
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.