Individual
ERICA MICHELLE MITEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47 CONGRESS ST, SALEM, MA 01970-7308
(978) 744-8388
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523
(978) 744-8388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110172086A
—
MA
Enumeration date
11/06/2017
Last updated
07/26/2021
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