Individual
DR. GITANA BRADAUSKAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, LEVY GRD. FLOOR, PHILADELPHIA, PA 19141-3091
(215) 456-6970
(215) 456-7154
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD442152
PA
207R00000X
Internal Medicine Physician
P17477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD442152
MD
PA
Enumeration date
01/24/2007
Last updated
07/24/2012
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