Individual
DR. STUART GITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MBA
Contact information
Practice address
1212 5TH AVE, NEW YORK, NY 10029-5210
(212) 241-6400
Mailing address
1212 5TH AVE, NEW YORK, NY 10029-5210
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
76784
MA
2084F0202X
Forensic Psychiatry Physician
76784
MA
Other
Enumeration date
08/16/2005
Last updated
03/27/2009
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