Provider Demographics
NPI:1649413501
Name:MINTAH, AFUA (MD)
Entity Type:Individual
Prefix:
First Name:AFUA
Middle Name:
Last Name:MINTAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-322-5042
Mailing Address - Fax:215-322-5043
Practice Address - Street 1:178 W STREET RD
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7817
Practice Address - Country:US
Practice Address - Phone:215-322-5042
Practice Address - Fax:215-322-5043
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY271088207V00000X
PAMD456511207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6759978OtherCIGNA PA
PA30245975OtherKEYSTONE FIRST
PA3345622OtherHIGHMARK BLUE SHIELD
PAP01618701OtherRAILROAD MEDICARE
PA3941088000OtherKEYSTONE IBC
PA9983609OtherAETNA
PA103086160001Medicaid
PAP01618701OtherRAILROAD MEDICARE