Individual
IAN JOSEPH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 ENGLISH CREEK AVE STE 1300, EGG HARBOR TOWNSHIP, NJ 08234-5598
(609) 677-6060
(609) 677-7000
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 606-4478
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00663000
NJ
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
07/16/2021
Last updated
11/12/2021
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