Individual
DR. TERESA KANDAH MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
271 CAREW STREET, SPRINGFIELD, MA 01104
(413) 748-7272
(413) 748-7213
Mailing address
PO BOX 686, WILBRAHAM, MA 01095
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153819
—
MA
Enumeration date
02/22/2006
Last updated
07/08/2007
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