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Contact Information

MARLON O MITCHELL, MD
200 SEABURY DR
BLOOMFIELD, CT06002-5618
 Phone: 860-785-5238
 Fax: 860-726-2230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARLON O MITCHELL · (Male)

NPI Number 1619396868
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2014
Last updated 11/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 72314
  • DC License # MD045554
Hospital affiliation(s) Not Available
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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