MEDICARE: NINA MINGIONI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD425668	PA

General Provider Information

NPI Number	:	1366490096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA MINGIONI MD

Provider Business Mailing Address
First Line	:	833 CHESTNUT STREET
Second Line	:	SUITE 701
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4409
Country	:	US
Telephone Number	:	215-955-6180
Fax Number	:	215-955-6410

Provider Business Practice Location Address
First Line	:	833 CHESTNUT STREET
Second Line	:	SUITE 701
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4409
Country	:	US
Telephone Number	:	215-955-6180
Fax Number	:	215-955-6410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/05/2013

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