Individual provider · Type 1 NPI
Sasha Gittens, MD
Adult Medicine Physician · Brockton, MA
NPI number
1235543794
Active
Practice location
63 Main St
Brockton, MA 02301-4042
Fax (508) 559-5073
Other practice locations
- 1301 Hodges Dr, Tallahassee, FL 32308-4614 · (850) 431-5714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN 19940 (FL) |
| Adult Medicine Physician Primary | 207QA0505X | 270083 (MA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1235543794
Sasha Gittens, MD's National Provider Identifier is 1235543794, issued on Jun 12, 2014. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Brockton, MA. The record was last updated on Jul 21, 2022.