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NPI Code Detail

MEDICARE: DR. JEFFREY FRANCIS WITTE MD

MEDICARE: DR. JEFFREY FRANCIS WITTE MD
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
1174400000XSpecialistD0015836MD

General Provider Information

NPI Number : 1952343642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY FRANCIS WITTE MD
Provider Business Mailing Address
First Line : 2810 JUTLAND RD
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2840
Country : US
Telephone Number : 301-942-9476
Fax Number :
Provider Business Practice Location Address
First Line : 9601 BLACKWELL RD STE 100
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-6477
Country : US
Telephone Number : 301-340-9200
Fax Number : 301-340-6934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 03/08/2016

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