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Individual

WILLIAM A MITCHELL JR.

Active
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Individual

WILLIAM A MITCHELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
52543
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052543
TUFTS HEALTH PLAN
MA
01
172421
HARVARD PILGRIM
MA
01
2438941
AETNA
MA
05
3007561
MA
01
69218
FALLON COMMUN HEALTH PLAN
MA
01
J03422
BLUE CROSS BLUE SHIELD
MA
01
P00271550
RAILROAD MEDICARE
MA
Enumeration date
02/28/2006
Last updated
11/20/2014
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