Provider Demographics
NPI:1417155516
Name:SITRIN, EDITH S (MD)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:S
Last Name:SITRIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 SQUIBB DR
Mailing Address - Street 2:PO BOX 191
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1588
Mailing Address - Country:US
Mailing Address - Phone:732-227-5549
Mailing Address - Fax:732-227-3550
Practice Address - Street 1:1 SQUIBB DR
Practice Address - Street 2:BUILDING 137
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1588
Practice Address - Country:US
Practice Address - Phone:732-227-5549
Practice Address - Fax:732-227-3550
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05582400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine