Provider Demographics
NPI:1710277405
Name:MITCHELL MARTIN INC.
Entity Type:Organization
Organization Name:MITCHELL MARTIN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, HEALTH CARE DIV.
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-723-7308
Mailing Address - Street 1:485A US HIGHWAY 1 S
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-3012
Mailing Address - Country:US
Mailing Address - Phone:646-723-7308
Mailing Address - Fax:212-967-2711
Practice Address - Street 1:485A US HIGHWAY 1 S
Practice Address - Street 2:SUITE 260
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-3012
Practice Address - Country:US
Practice Address - Phone:646-723-7308
Practice Address - Fax:212-967-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency