JACK MYDLO, MD
Urology
Active
Individual
NPI: 1780672881
Practice Address
3401 N BROAD ST3RD FLOOR PARKINSON PAVILION
Philadelphia, PA 19140
Phone: (215) 707-3375
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Urology | 208800000X | Yes | MD071004L (PA) |
Frequently Asked Questions
NPI 1780672881 is the National Provider Identifier for JACK MYDLO, MD, a Urology provider located in Philadelphia, PA. This NPI was enumerated on October 12, 2005.
JACK MYDLO, MD practices at 3401 N BROAD ST, 3RD FLOOR PARKINSON PAVILION, Philadelphia, PA 19140.
Quick Facts
- NPI
- 1780672881
- Type
- Individual
- Enumerated
- Oct 12, 2005
- Last Updated
- Mar 21, 2017
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