William A Mitchell JR.
Sports Medicine Orthopaedic Surgeon
65 Walnut St Ste 440
Wellesley
, Massachusetts 02481-2196
William A Mitchell JR.
Sports Medicine Orthopaedic Surgeon
65 Walnut St Ste 440
Wellesley
, Massachusetts 02481-2196
(781) 489-6146
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- William A Mitchell JR.
- 65 Walnut St Suite 440
- Wellesley, MA
- Zip : 02481-2118
- Fax : (781) 489-6146
- Phone : (781) 235-9089
Second Address
- William A Mitchell JR.
- 65 Walnut St Ste 440
- Wellesley, MA
- Zip : 02481-2196
- Fax : (781) 237-5121
- Phone : (781) 235-9089
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 52543 | MA |
National Provider Identifier
| NPI | 1194791186 |
|---|---|
| Provider Name | William A Mitchell JR. |
| First Address | Wellesley, MA 02481-2118 |
| Second Address | Wellesley, MA 02481-2196 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 20/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 052543 | TUFTS HEALTH PLAN (01) | MA |
| 172421 | HARVARD PILGRIM (01) | MA |
| 2438941 | AETNA (01) | MA |
| 3007561 | (05) | MA |
| 69218 | FALLON COMMUN HEALTH PLAN (01) | MA |
| B77020 | (02) | MA |
| J03422 | BLUE CROSS BLUE SHIELD (01) | MA |
| P00271550 | RAILROAD MEDICARE (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.