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Contact Information

GREGORY J MITCHON, MD
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-334-3271
 Fax: 508-856-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for GREGORY J MITCHON · (Male)

NPI Number 1902174766
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2011
Last updated 12/08/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 282487
  • TX License # 50033
  • WA License # ML60558709
  • MA Medicaid 110159667A
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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