Individual
ANGELO J MITSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3124 WILMINGTON RD, SUITE 106, NEW CASTLE, PA 16105-1100
(724) 656-1680
(724) 656-1683
Mailing address
3124 WILMINGTON RD, SUITE 106, NEW CASTLE, PA 16105-1100
(724) 656-1680
(724) 656-1683
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002342L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008523790004
—
PA
01
—
0488422
MEDICAID PIN
OH
01
—
PO0329085
RAILROAD MEDICARE PIN
OH
Enumeration date
11/10/2005
Last updated
02/22/2012
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