Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 051367 | CT |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 051367 | CT |
NPI | 1063692861 |
---|---|
Provider Name | Dr. Alex Gitelman |
First Address | Stamford, CT 06902-3544 |
Second Address | Stamford, CT 06902-3544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 18/05/2016 |