Organization
GITA R BARUAH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GITA BARUAH MD (OWNER)
(414) 219-3031
Entity
Organization
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3031
Mailing address
19175 STILL POINT TRL, BROOKFIELD, WI 53045-4808
(414) 219-3031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30483600
—
WI
Enumeration date
05/14/2007
Last updated
02/17/2011
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