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Individual

DR. JOHN W GITTINGER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40297
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152360BMC
HARVARD PILGRIM HEALTH CA
MA
05
2053543
MA
01
2365172
AETNA
MA
01
729655
TUFTS HEALTH PLAN
MA
01
M09513
BCBS
MA
Enumeration date
09/27/2005
Last updated
06/09/2008
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