Individual
DANIEL PAUL PITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
248 MAIN ST, CHATHAM, NJ 07928-2412
(732) 298-0301
(732) 495-1606
Mailing address
651 MONMOUTH AVE, PORT MONMOUTH, NJ 07758-1517
(732) 298-0301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05185600
NJ
1041C0700X
Clinical Social Worker
R055664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179291
MEDICARE PTAN
NJ
Enumeration date
09/14/2009
Last updated
01/10/2019
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