Individual
DR. MARY BETH WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,F.A.C.O.G.
Contact information
Practice address
704 N BEERS ST, HOLMDEL, NJ 07733-1519
(732) 739-2500
Mailing address
704 N BEERS ST, HOLMDEL, NJ 07733-1519
(732) 739-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA63154
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0644121000
AMERIHEALTH
NJ
01
—
1K3601
HEALTHNET
NJ
05
—
7393709
—
NJ
01
—
P1278196
OXFORD
NJ
Enumeration date
10/12/2005
Last updated
10/24/2007
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