Provider Demographics
NPI:1689666000
Name:MITCHELL, CLIFFORD SETH (MS, MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:SETH
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MS, MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5705 WOODCREST AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4029
Mailing Address - Country:US
Mailing Address - Phone:410-466-0529
Mailing Address - Fax:410-466-0529
Practice Address - Street 1:5705 WOODCREST AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4029
Practice Address - Country:US
Practice Address - Phone:410-466-0529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37382207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine