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Individual
JUSTIN J BITTNER
Active
Individual
JUSTIN J BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016053450008
—
PA
01
—
0983190000
IBC - PC/KHPE
PA
01
—
10923215
CAQH ID#
PA
01
—
16523-OS008722L
HEALTH PARTNERS
PA
01
—
1859552
CIGNA HMO/PPO
PA
01
—
2646497
AETNA HMO
PA
01
—
30028991
KEYSTONE MERCY
PA
01
—
379042
PHCS
PA
01
—
528278
HIGHMARK BLUE SHIELD
PA
01
—
5754511
AETNA PPO
PA
Enumeration date
06/09/2006
Last updated
07/09/2007
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