Individual
DR. JEFFREY MITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 339-7609
Mailing address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
255500
MA
207ZP0101X
Anatomic Pathology Physician
Primary
266814
MA
Other
Enumeration date
10/16/2013
Last updated
08/15/2017
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