MEDICARE: DR. JEFFREY WARREN BITTERMAN 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	207P00000X	Emergency Medicine Physician	26811	AZ

General Provider Information

NPI Number	:	1023090248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY WARREN BITTERMAN M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 197849
Second Line	:
City	:	AGANA HEIGHTS
State	:	GUAM
Zip	:	96919
Country	:	UM
Telephone Number	:	671-688-3805
Fax Number	:	671-344-9446

Provider Business Practice Location Address
First Line	:	U.S. NAVAL HOSPITAL GUAM, FARENHOLT STREET
Second Line	:	BUILDING K-1
City	:	AGANA HEIGHTS
State	:	GUAM
Zip	:	96919
Country	:	UM
Telephone Number	:	671-344-9619
Fax Number	:	671-344-9446

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/21/2022

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