Roger D. Mitty, MD

Gastroenterology Physician · Brighton, MA

Individual Active NPI

NPI number 1902894025

Practice location

11 Nevins St
Brighton, MA 02135-3514
Phone
(617) 562-5432
Fax
(617) 789-5049

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NPI record

NPI
1902894025
Entity type
Individual (Type 1)
Enumeration date
October 12, 2005
Last updated
October 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gastroenterology Physician Primary 207RG0100X 74173 MA
Internal Medicine Physician 207R00000X 779172 NY

About Dr. Mitty

Roger D. Mitty, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Gastroenterology Physician (code 207RG0100X). The practice location is 11 Nevins St, Brighton, MA 02135-3514. The NPI number 1902894025 was assigned on October 12, 2005 and the record was last updated on October 21, 2011.

Dr. Mitty lists 2 licenses in the registry: #74173 (MA) for Gastroenterology Physician; #779172 (NY) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger D. Mitty, MD?

The NPI number is 1902894025.

What is the phone number of Dr. Mitty?

The phone number listed for the practice location is (617) 562-5432.

Where is Dr. Mitty located?

11 Nevins St, Brighton, MA 02135-3514.

What is the taxonomy code for Dr. Mitty?

The primary taxonomy code is 207RG0100X – Gastroenterology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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