Organization
THOMAS MITCHELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE FORDE RYNNE (BILLING MANAGER)
(781) 826-5429
Entity
Organization
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 826-5429
Mailing address
PO BOX 2315, HANOVER, MA 02339-8315
(781) 826-5429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
76490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076490
TUFTS
MA
01
—
172423
HARVARD PILGRIM
MA
05
—
3168760
—
MA
01
—
J17798
BLUE CROSS
MA
Enumeration date
09/19/2007
Last updated
09/19/2007
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