Provider Demographics
NPI:1558365155
Name:MITZ, HOWARD STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:STEVEN
Last Name:MITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4101
Mailing Address - Country:US
Mailing Address - Phone:603-444-0272
Mailing Address - Fax:603-444-0274
Practice Address - Street 1:220 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4101
Practice Address - Country:US
Practice Address - Phone:603-444-0272
Practice Address - Fax:603-444-0274
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9856207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0408214 YPNH01OtherBCBS
NH80004269Medicaid
NHORE4269Medicare ID - Type Unspecified