Provider Demographics
NPI:1942227467
Name:GITLIN, JONATHAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:D
Last Name:GITLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 CHILDRENS WAY, STE 2407
Mailing Address - Street 2:VANDERBILT CHILDRENS HOSPITAL
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-9900
Mailing Address - Country:US
Mailing Address - Phone:615-322-3377
Mailing Address - Fax:615-936-3330
Practice Address - Street 1:2200 CHILDRENS WAY, STE 2407
Practice Address - Street 2:VANDERBILT CHILDRENS HOSPITAL
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9900
Practice Address - Country:US
Practice Address - Phone:615-322-3377
Practice Address - Fax:615-936-3330
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD434902080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3001540Medicaid
TN3001540Medicaid
E58616Medicare UPIN