Individual
MARAT GITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5 N MAIN ST, ENFIELD, CT 06082-3372
(860) 253-9024
(860) 253-9593
Mailing address
575 MAIN ST, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49820
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
06/25/2008
Last updated
08/29/2013
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