Individual
DR. BRUCE HOWARD MITLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 MARLBOROUGH ST APT 3, BOSTON, MA 02116-1922
(617) 949-1258
Mailing address
117 MARLBOROUGH ST APT 3, BOSTON, MA 02116-1922
(617) 949-1258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56997
MA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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