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NPI Code Detail

MEDICARE: DR. PAUL WITT D.O.

MEDICARE: DR. PAUL WITT D.O.
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
1207R00000XInternal Medicine PhysicianOS020156PA

General Provider Information

NPI Number : 1457706996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL WITT D.O.
Provider Business Mailing Address
First Line : 59 E CAREY ST
Second Line :
City : PLAINS
State : PA
Zip : 18705-2007
Country : US
Telephone Number : 570-823-7643
Fax Number : 570-824-4090
Provider Business Practice Location Address
First Line : 59 E CAREY ST
Second Line :
City : PLAINS
State : PA
Zip : 18705-2007
Country : US
Telephone Number : 570-823-7643
Fax Number : 570-824-4090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 11/08/2024

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Directions to “ DR. PAUL WITT D.O.” Practice Location

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