Provider Demographics
NPI:1255394748
Name:MITCHELL, RICHARD NEAL (MD PHD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:NEAL
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD PHD
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Other - First Name:
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:AMORY 3 BRIGHAM AND WOMENS HOSPITAL DEPT OF PATHOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:508-732-6526
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:AMORY 3 BRIGHAM AND WOMENS HOSPITAL DEPT OF PATHOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:508-732-6526
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA55533207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology