Individual
DR. MITCHELL STEPHEN FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M.PHIL
Contact information
Practice address
1250 WATERS PL, TOWER 1, 11TH FLOOR, BRONX, NY 10461
(631) 513-9369
Mailing address
1250 WATERS PL, TOWER 1, 11TH FLOOR, BRONX, NY 10461
(631) 513-9369
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
282504
MA
Other
Enumeration date
06/16/2014
Last updated
08/31/2022
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