| David S Mitchell Do Pa | |
|
1255 Route 70 Ste 20n Lakewood NJ 08701-6192 | |
| (732) 905-8333 | |
| (732) 905-8709 |
| Full Name | David S Mitchell Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1255 Route 70 Ste 20n, Lakewood, New Jersey |
| Authorized Official Name and Position | David Stuart Mitchell (PRESIDENT) |
| Authorized Official Contact | 7329058333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Mitchell Do Pa 1255 Route 70 Ste 20n Lakewood NJ 08701-6192 Ph: (732) 905-8333 | David S Mitchell Do Pa 1255 Route 70 Ste 20n Lakewood NJ 08701-6192 Ph: (732) 905-8333 |
| NPI Number | 1154561033 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 04/21/2009 |
| Medicare PECOS PAC ID | 7618031527 |
|---|---|
| Medicare Enrollment ID | O20090304000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB55269 (New Jersey) | Primary |
| Provider Name | David Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528179827 PECOS PAC ID: 6800950718 Enrollment ID: I20090121000378 |
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