Individual
JEFFREY MARTIN MITCHEL
Active
Individual
JEFFREY MARTIN MITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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