Individual
DR. MADHUR MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 577-1150
Mailing address
PO BOX 986513, DEPARTMENT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9700337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910650
—
NC
Enumeration date
05/19/2006
Last updated
09/12/2024
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