Individual
MATTHEW MITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 BAYSIDE RD, CHESAPEAKE BEACH, MD 20732-3350
(443) 964-5656
Mailing address
1418 CAMBIUM CT, HANOVER, MD 21076-1680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000689
MD
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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