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NPI Code Detail

MEDICARE: DR. STEPHEN D MIFSUD DO

MEDICARE: DR. STEPHEN D MIFSUD DO
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
1207P00000XEmergency Medicine PhysicianOS005334LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518007400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN D MIFSUD DO
Provider Business Mailing Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number :
Provider Business Practice Location Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/31/2013

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