Individual
DR. JARED GITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1319 LINCOLN AVE, PROSPECT PARK, PA 19076-1216
(610) 532-5008
Mailing address
1319 LINCOLN AVE PO BOX 254, PROSPECT PARK, PA 19076-1216
(610) 532-5008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02643000
NJ
122300000X
Dentist
Primary
DS040782
PA
Other
Enumeration date
06/03/2016
Last updated
06/23/2016
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