Individual
SWAGATA MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
863 BUTTNER PL STE 103, DOVER, DE 19904-2406
(302) 734-3331
Mailing address
863 BUTTNER PL STE 103, DOVER, DE 19904-2406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0025007
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YJ61240B
—
NY
Enumeration date
07/03/2019
Last updated
07/29/2022
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