Individual
DR. HENRY D MITCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 MOUNT AUBURN ST STE 201, WATERTOWN, MA 02472-4153
(617) 926-1200
Mailing address
521 MT. AUBURN ST., SUITE 201, WATERTOWN, MA 02472
(617) 926-1200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177938
—
MA
Enumeration date
08/15/2005
Last updated
08/09/2023
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