Individual
DR. DONALD G. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 955-5098
Mailing address
615 CHESTNUT ST, 14TH FLR., CENTRAL ENROLLMENTS, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD033867E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001048617
—
PA
05
—
6378803
—
NJ
Enumeration date
07/15/2006
Last updated
01/10/2013
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