# RUTHERFORD WOMEN AND ADOLESCENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891016762
- **Authorized official:** DR. THEODORE OSWALD WITTER M.D (OWNER)
- **Authorized official phone:** (201) 438-0539

## Contact information

- **Practice address:** 17 SYLVAN ST, SUITE 201, RUTHERFORD, NJ 07070-2037
- **Practice address phone:** (201) 438-0539
- **Practice address fax:** (201) 438-2108
- **Mailing address:** PO BOX 25, RUTHERFORD, NJ 07070-0025
- **Mailing address phone:** (201) 438-0539
- **Mailing address fax:** (201) 438-2108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MAO51466 | NJ | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 06/15/2010