Individual
MS. EDITH ANNE CHITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 MACK AVE STE 64100, DETROIT, MI 48201-2466
(313) 832-0303
(313) 745-9222
Mailing address
1800 ORLEANS ST, SHEIKH ZAYED TOWER 7107, BALTIMORE, MD 21287-0010
(410) 614-2210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
12/10/2012
Last updated
09/11/2019
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