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Individual

DR. MARSHA D MITCHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 FRANCIS ST, BOSTON, MA 02115
(202) 531-6987
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(202) 531-6987

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101247944
VA
2083A0100X
Aerospace Medicine Physician
0101247944
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/29/2009
Last updated
08/02/2022
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