Roger D Mitty, MD Valid NPI

Individual provider · Gastroenterology Physician · Brighton, MA

NPI

1902894025

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

74173 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-12

Last updated

2011-10-21