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Organization
RUTHERFORD WOMEN AND ADOLESCENT CARE, LLC
Active
Organization
RUTHERFORD WOMEN AND ADOLESCENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE OSWALD WITTER M.D (OWNER)
(201) 438-0539
Entity
Organization
Contact information
Practice address
17 SYLVAN ST, SUITE 201, RUTHERFORD, NJ 07070-2037
(201) 438-0539
(201) 438-2108
Mailing address
PO BOX 25, RUTHERFORD, NJ 07070-0025
(201) 438-0539
(201) 438-2108
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MAO51466
NJ
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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