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NPI Code Detail

MEDICARE: DR. MARY F. WITT M.D.

MEDICARE:  DR. MARY F. WITT  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
12080P0205XPediatric Endocrinology Physician0101042681VA

General Provider Information

NPI Number : 1861571762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY F. WITT M.D.
Provider Business Mailing Address
First Line : 2221 EDWARD HOLLAND DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-2518
Country : US
Telephone Number : 804-354-2539
Fax Number :
Provider Business Practice Location Address
First Line : 2221 EDWARD HOLLAND DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-2518
Country : US
Telephone Number : 804-354-2539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARY F. WITT M.D.” Practice Location

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