Individual
DR. BONNIE SHARON GITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130
(857) 364-5124
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-5124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15783
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
P25115
NY
Other
Enumeration date
12/23/2008
Last updated
09/06/2019
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