Witter, Theodore Oswald

Witter, Theodore Oswald is an individual health care provider with primary practice located at 17 Sylvan St Ste 201 , Rutherford NJ 07070-2069. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Witter, Theodore Oswald can be contacted via phone (201) 438-2824.

Contact Information

Primary practice address
17 Sylvan St Ste 201 Rutherford NJ 07070-2069
Phone: (201) 438-2824
Fax: (201) 438-2108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA051466 New Jersey

Profile Details

NPI number 1386656577
LBN Legal business name Witter, Theodore Oswald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1386656577 NPPES
New Jersey MEDICAID 0777901

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