Individual
DR. MARILYN GITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1771 MADISON AVE, CENTER FOR HEALTH EDUCATON, MEDICINE AND DENTISTRY, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 534-8064
Mailing address
1771 MADISON AVE, CENTER FOR HEALTH EDUCATON, MEDICINE AND DENTISTRY, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 534-8064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01646600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158411
—
NJ
Enumeration date
03/17/2008
Last updated
05/23/2013
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