Provider Demographics
NPI:1902047020
Name:GITT, PATRICIA D (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:GITT
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:PATRICIA
Other - Last Name:GITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:14 WAVERLY DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5042
Mailing Address - Country:US
Mailing Address - Phone:609-234-9465
Mailing Address - Fax:
Practice Address - Street 1:401 YOUNG AVE STE 320
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-291-8920
Practice Address - Fax:856-291-8922
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00019400363AS0400X
PAMA051662363AS0400X
PAOA000073L363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical