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Search › Pennsylvania › 208800000X

Jack Mydlo, MD

NPI 1780672881 · on the registry since 2005

Practice

Address
3401 N Broad St
3rd Floor Parkinson Pavilion
Philadelphia, PA 19140
Phone
(215) 707-3375
Fax
(215) 707-4758
Organisation at this address
Temple
Stc Pediatrics Llc
Temple Physicians Inc
Temple Physician Inc.
Temple Physicians Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,938

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania