Individual
MITCHELL J GITKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WEIGHT CENTER RM H1-415, WORCESTER, MA 01655-0002
(508) 334-3894
Mailing address
PO BOX 415348, BOSTON, MA 02241
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57469
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3018229
—
MA
Enumeration date
11/29/2005
Last updated
11/03/2020
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