Individual
JEFFREY MARTIN MITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 GRAND AVE, ENGLEWOOD, NJ 07631-4154
(201) 567-7576
(201) 567-8628
Mailing address
370 GRAND AVE, ENGLEWOOD, NJ 07631-4154
(201) 567-7576
(201) 567-8628
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
124155
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MA31248
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060044908
RAILROAD MEDICARE
—
01
—
JM0605B5010
EMPIRE BLUE CROSS BLUE SHIELD
—
Enumeration date
08/02/2006
Last updated
04/06/2010
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