Lisa Gittens M.D.

NPI 1043243504 - Obstetrics & Gynecology - 207VM0101X

NPI Details
NPI 1043243504
Gender Female
Enumeration Date 07/08/2006
Last Updated 07/22/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
140 BERGEN ST
ACC LEVEL C
NEWARK NJ, 07103-2425, US
Phone (973) 972-2700
Fax (973) 972-2739
Business Location
30 BERGEN ST
ADMC 12 1205
NEWARK NJ, 07107-3000, US
Phone
Fax
Toxanomy
Taxonomy Code 207VM0101X
License State New Jersey
License Number 25MA05404300
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According to our database, Lisa Gittens M.D. NPI is 1043243504, taxonomy code is 207VM0101X and license number is 25MA05404300, license state is located at New Jersey. Lisa Gittens M.D. physically located at 140 Bergen St, Newark NJ, 07103-2425. NPI Number Lisa Gittens M.D. has the Individual type.

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1043243504 NPI number is provided on an as is basis without warranty of any kind. 1043243504 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Gittens M.D. are for informational purposes only.