Individual
WILLIAM A MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 WALNUT ST STE 440, WELLESLEY, MA 02481-2196
(781) 235-9089
(781) 237-5121
Mailing address
65 WALNUT ST, SUITE 440, WELLESLEY, MA 02481-2118
(781) 235-9089
(781) 489-6146
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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