Individual
MATTHEW D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3867
(215) 829-5567
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ00363700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN573737
PA
Other
Enumeration date
06/08/2009
Last updated
08/05/2024
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