MEDICARE: DR. BARRY SHELDON TITTON MD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	25MA03198900	NJ

General Provider Information

NPI Number	:	1053654186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY SHELDON TITTON MD M.D.

Provider Business Mailing Address
First Line	:	7503 BAYSHORE DRIVE
Second Line	:
City	:	MARGATE
State	:	NJ
Zip	:	08402
Country	:	US
Telephone Number	:	561-381-7494
Fax Number	:	609-487-0740

Provider Business Practice Location Address
First Line	:	7503 BAYSHORE DR
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2056
Country	:	US
Telephone Number	:	609-822-7030
Fax Number	:	609-487-0740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	03/27/2013

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