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Individual
WILLIAM J WITTMAN
Active
Individual
WILLIAM J WITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402434
UNITED HEALTHCARE
MA
01
—
3256423
AETNA
MA
01
—
376898
PRIVATE HEALTHCARE SYSTEM
MA
05
—
6195016
—
MA
01
—
6251
HARVARD PILGRIM
MA
01
—
715096
TUFTS HEALTH PLAN
MA
01
—
M18254
BLUE CROSS BLUE SHIELD
MA
01
—
P00067055
RAIL ROAD MEDICARE
MA
Enumeration date
05/24/2005
Last updated
05/28/2010
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