MEDICARE: DR. HOWARD STEVEN MITZ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	9856	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0408214 YPNH01	OTHER	NH	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558365155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD STEVEN MITZ D.O.

Provider Business Mailing Address
First Line	:	220 COTTAGE ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-4101
Country	:	US
Telephone Number	:	603-444-0272
Fax Number	:	603-444-0274

Provider Business Practice Location Address
First Line	:	220 COTTAGE ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-4101
Country	:	US
Telephone Number	:	603-444-0272
Fax Number	:	603-444-0274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	02/23/2021

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