| Mitchell S. Gittelman, D.O., P.A. | |
|
31413 Winterplace Pkwy 103 Salisbury MD 21804-1877 | |
| (410) 860-0100 | |
| (410) 860-4894 |
| Full Name | Mitchell S. Gittelman, D.O., P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 31413 Winterplace Pkwy, Salisbury, Maryland |
| Authorized Official Name and Position | Mitchell Sender Gittelman (PHYSICIAN) |
| Authorized Official Contact | 4108600100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell S. Gittelman, D.O., P.A. 31413 Winterplace Pkwy 103 Salisbury MD 21804-1877 Ph: (410) 860-0100 | Mitchell S. Gittelman, D.O., P.A. 31413 Winterplace Pkwy 103 Salisbury MD 21804-1877 Ph: (410) 860-0100 |
| NPI Number | 1073792131 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 12/10/2009 |
| Medicare PECOS PAC ID | 2264472216 |
|---|---|
| Medicare Enrollment ID | O20050509000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073792131 | NPI | - | NPPES |
| 368280300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H54827 (Maryland) | Primary |
| Provider Name | Maria T Garde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700886165 PECOS PAC ID: 5294708160 Enrollment ID: I20040818000718 |
| Provider Name | Mitchell Gittelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851398689 PECOS PAC ID: 6901945799 Enrollment ID: I20091208000639 |
| Provider Name | Melissa Noah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871950790 PECOS PAC ID: 4981902814 Enrollment ID: I20160411000505 |
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