# GITA R BARUAH MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669688222
- **Authorized official:** DR. GITA BARUAH MD (OWNER)
- **Authorized official phone:** (414) 219-3031

## Contact information

- **Practice address:** 945 N 12TH ST, MILWAUKEE, WI 53233-1305
- **Practice address phone:** (414) 219-3031
- **Mailing address:** 19175 STILL POINT TRL, BROOKFIELD, WI 53045-4808
- **Mailing address phone:** (414) 219-3031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 02/17/2011