Gittens, Lisa

Gittens, Lisa is an individual health care provider with primary practice located at 140 Bergen St Acc Level C, Newark NJ 07103-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Gittens, Lisa can be contacted via phone (973) 972-2700.

Contact Information

Primary practice address
140 Bergen St Acc Level C Newark NJ 07103-2425
Phone: (973) 972-2700
Fax: (973) 972-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25MA05404300 New Jersey

Profile Details

NPI number 1043243504
LBN Legal business name Gittens, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043243504 NPPES
New Jersey MEDICAID 5091501

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