Individual
TOM MITROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 N WALNUT ST, BOYERTOWN, PA 19512-1467
(610) 367-8844
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3347
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA06549800
NJ
207L00000X
Anesthesiology Physician
C1-0006035
DE
207L00000X
Anesthesiology Physician
CI006035
DE
207L00000X
Anesthesiology Physician
Primary
MD025772E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD025772E
PA
Other
Enumeration date
10/04/2005
Last updated
12/05/2023
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