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Individual
IAN JOSEPH MITCHELL
Active
Individual
IAN JOSEPH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00663000
NJ
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/16/2021
Last updated
11/12/2021
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