Provider Demographics
NPI:1629473087
Name:MITCHELL, BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 STATE ROUTE 24
Mailing Address - Street 2:BLDG 3C
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2918
Mailing Address - Country:US
Mailing Address - Phone:908-879-8000
Mailing Address - Fax:908-879-1385
Practice Address - Street 1:385 STATE ROUTE 24
Practice Address - Street 2:BLDG 3C
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2918
Practice Address - Country:US
Practice Address - Phone:908-879-8000
Practice Address - Fax:908-879-1385
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA043460208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice