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Individual

DR. MORDECAI M. WITKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
504 VALLEY RD, WAYNE, NJ 07470-3534
(973) 696-6677
Mailing address
72 CONFORTI AVE, WEST ORANGE, NJ 07052-2828
(973) 325-9228

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00197600
NJ

Other

Enumeration date
01/02/2006
Last updated
12/14/2009
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