Individual
DR. JAMES EDWARD MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 BERGENLINE AVE, UNION CITY, NJ 07087-4924
(551) 251-1948
Mailing address
389 WASHINGTON ST APT 30J, JERSEY CITY, NJ 07302-8966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11318200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027068900
—
DC
01
—
76881001
BLUE SHIELD
MD
05
—
781002400
—
MD
05
—
H9140007
—
DC
Enumeration date
06/21/2006
Last updated
09/26/2024
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