Provider Demographics
NPI:1295095735
Name:GITTER VEIN INSTITUTE
Entity type:Organization
Organization Name:GITTER VEIN INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-833-0111
Mailing Address - Street 1:2525 SEVERN AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5932
Mailing Address - Country:US
Mailing Address - Phone:504-833-0111
Mailing Address - Fax:504-833-0114
Practice Address - Street 1:2525 SEVERN AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5932
Practice Address - Country:US
Practice Address - Phone:504-833-0111
Practice Address - Fax:504-833-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2052672086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty