Basic Information
Provider Information
NPI: 1831456896
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOLNAR
FirstName: ESTHER
MiddleName: MARGARET
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1025 WALNUT ST
Address2: SUITE 805
City: PHILADELPHIA
State: PA
PostalCode: 191075001
CountryCode: US
TelephoneNumber: 2159558768
FaxNumber: 2159553890
Practice Location
Address1: 4094 4TH AVE
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921032143
CountryCode: US
TelephoneNumber: 6195152545
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2012
LastUpdateDate: 11/22/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XA147419CAN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207R00000XA147419CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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