IndividualActive
Amitabha Mitra, MD
NPI 1831187871 · Plastic and Reconstructive Surgery Physician · Williamsport, PA
Provider details
- NPI number
- 1831187871
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD023302E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone: (570) 326-8005
Approximate (ZIP-level) locationGet directions
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.