Organization
PHOEBE B. MITCHELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHOEBE BACON MITCHELL M.D. (OWNER)
(781) 492-6519
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL STE 423, BROOKLINE, MA 02445-7237
(617) 566-1535
Mailing address
60 CAROLINA AVE # 2, BOSTON, MA 02130-3213
(781) 492-6519
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598154197
NPPES
MA
Enumeration date
03/10/2022
Last updated
03/10/2022
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