# DR. MITCHELL S GARDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952304263
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 044118 | CT | — |
| 207X00000X | Orthopaedic Surgery Physician | 044118 | CT | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 044118 | CT | — |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000038402 | GHI HMO \# | NY |
| 05 | — | 01694311 | — | NY |
| 01 | — | 0599833 | GHI PPO \# | NY |
| 01 | — | 141796305 | TAX IDENTIFICATION \# | NY |
| 01 | — | 2071599 | AETNA HMO \# | NY |
| 01 | — | 5724688 | AETNA PPO \# | NY |
| 01 | — | 691155 | MVP PROVIDER \# | NY |
| 01 | — | P958616 | OXFORD PROVIDER \# | NY |