Individual
DR. MATTHEW MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5171
Mailing address
195 WEST WALK, WEST HAVEN, CT 06516-5961
(941) 504-4289
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
60381
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2014
Last updated
10/03/2018
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