Individual
SASHA GITTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TRN 19940
FL
207QA0505X
Adult Medicine Physician
Primary
270083
MA
Other
Enumeration date
06/12/2014
Last updated
07/21/2022
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