Garden, Mitchell S

Garden, Mitchell S is an sole proprietor health care provider with primary practice located at 622 Bantam Rd , Bantam CT 06750-1600. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Garden, Mitchell S can be contacted via phone (860) 361-6650.

Contact Information

Primary practice address
622 Bantam Rd Bantam CT 06750-1600
Phone: (860) 361-6650
Fax: (860) 361-6654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 044118 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 044118 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 044118 Connecticut

Profile Details

NPI number 1952304263
LBN Legal business name Garden, Mitchell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Mar 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952304263 NPPES
New York Other 691155 MVP PROVIDER #
New York Other P958616 MVP PROVIDER #
New York Other 5724688 MVP PROVIDER #
New York Other 000000038402 MVP PROVIDER #
New York MEDICAID 01694311 MVP PROVIDER #
New York Other 0599833 MVP PROVIDER #
New York Other 141796305 MVP PROVIDER #
New York Other 2071599 MVP PROVIDER #

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