Organization
WILLIAM MITCHELL JR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DUPEE (PRACTICE ADMINISTRATOR)
(781) 235-9089
Entity
Organization
Contact information
Practice address
65 WALNUT ST, SUITE 440, WELLESLEY, MA 02481-2118
(781) 235-9089
Mailing address
65 WALNUT ST, SUITE 440, WELLESLEY, MA 02481-2118
(781) 235-9089
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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