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Organization
CHARLES B. WITT, JR MD INC
Active
Organization
CHARLES B. WITT, JR MD INC
Active
Parent organization
CHARLES B. WITT, JR MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES B. WITT, JR MD INC
Authorized official
DR. CHARLES BENJAMIN WITT JR. M.D. (PRESIDENT)
(323) 466-7333
Entity
Organization
Contact information
Practice address
316 NORTH ROSSMORE AVENUE, SUITE 507, LOS ANGELES, CA 90004-2415
(323) 466-7333
(323) 871-1696
Mailing address
316 NORTH ROSSMORE AVENUE, SUITE 507, LOS ANGELES, CA 90004-2415
(323) 466-7333
(323) 871-1696
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G3366
CA
208D00000X
General Practice Physician
Primary
G3366
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G3366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G33660
—
CA
Enumeration date
04/20/2010
Last updated
04/20/2010
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