Organization
BEACON HILL ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A MITAMURA MD PHD (CEO)
(914) 693-9400
Entity
Organization
Contact information
Practice address
20 BEACON HILL DR, STE 2A, DOBBS FERRY, NY 10522-2402
(914) 693-9400
(914) 693-4793
Mailing address
20 BEACON HILL DR, STE 2A, DOBBS FERRY, NY 10522-2402
(914) 693-9400
(914) 693-4793
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
257342
NY
Other
Enumeration date
08/11/2011
Last updated
04/18/2012
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