Individual
DR. JOEL STEWART GITLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 HILL ST, UNIT 13, SOUTHAMPTON, NY 11968-5322
(631) 259-3833
(631) 259-3833
Mailing address
155 HILL ST, UNIT 13, SOUTHAMPTON, NY 11968-5322
(631) 259-3833
(631) 259-3833
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
083564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083564
NEW YORK STATE MEDICAL LICENSE NUMBER:
NY
Enumeration date
04/25/2013
Last updated
04/25/2013
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