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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW MITZMAN

Active Sole Proprietor

MATTHEW MITZMAN is a Athletic Trainer healthcare provider located in CHESAPEAKE BEACH, Maryland. NPI 1629525357 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CHESAPEAKE BEACH, MD

Registration Details

NPI Number
1629525357
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2016 (9.9545302925585 yrs)
Last Updated
Sep 11, 2016
License
A0000689 (MD)
Sole Proprietor
Yes

Practice Information

Address
8501 BAYSIDE RD
CHESAPEAKE BEACH, MD, 207323350
Browse MD providers · Browse ZIP 20732
Phone
4439645656
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.