Individual
DR. SCOTT HARVEY MITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
600 N WOLFE ST, BLALOCK 1404-D, BALTIMORE, MD 21287-0005
(410) 502-5380
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-8465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D45207
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129481400
—
MD
Enumeration date
05/12/2006
Last updated
02/13/2013
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