Witczak, Kathryn Elizabeth

Witczak, Kathryn Elizabeth is an individual health care provider with primary practice located at 1825 Rte 35 , Wall Township NJ 07719-3541. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Witczak, Kathryn Elizabeth can be contacted via phone (732) 280-2600.

Contact Information

Primary practice address
1825 Rte 35 Wall Township NJ 07719-3541
Phone: (732) 280-2600
Fax: (848) 469-8933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00420800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00420800 New Jersey

Profile Details

NPI number 1881138576
LBN Legal business name Witczak, Kathryn Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2016
Last updated Jan 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881138576 NPPES
New Jersey MEDICAID 0542474

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