21D1001447 CLIA NUMBER - MITCHELL S GITTELMAN DO PA

Laboratory Demographics

CLIA Number: 21D1001447

Facility Name: MITCHELL S GITTELMAN DO PA

Facility Address:
31413 WINTERPLACE PARKWAY STE 103
SALISBURY, MD
ZIP 21804
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Facility Phone Number: 410 860-0100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851398689

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	21D1001447
LAB Type	Physician Office
Facility Name	MITCHELL S GITTELMAN DO PA
Street	31413 WINTERPLACE PARKWAY STE 103
City	SALISBURY
State	MD
ZIP	21804
Phone	410 860-0100
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024