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Individual

DR. SHELLEY GITTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1865 TAMARACK RD, NEWARK, OH 43055
(220) 564-4935
(220) 564-4944
Mailing address
1865 TAMARACK RD, NEWARK, OH 43055-2305
(220) 564-4935
(220) 564-4944

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-077113
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35077113
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2145664
OH
Enumeration date
07/20/2005
Last updated
04/13/2026
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