Individual
KELLY MIZRAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
383 PARADISE RD, SWAMPSCOTT, MA 01907-2928
(781) 599-2600
Mailing address
383 PARADISE RD, SWAMPSCOTT, MA 01907-2928
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PENDING
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
06/10/2021
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