Individual
IDA L GITAJN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, ORTHOPAEDICS, LEBANON, NH 03756-1000
(603) 650-5133
Mailing address
1 MEDICAL CENTER DR, ORTHOPAEDICS, LEBANON, NH 03756-1000
(603) 650-5133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17696
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028136
—
VT
05
—
3105152
—
NH
Enumeration date
06/22/2010
Last updated
02/15/2017
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