Individual
MAURY WITKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213
(614) 224-6420
Mailing address
2376 VILLAGE AT BEXLEY DR, COLUMBUS, OH 43209-2896
(614) 402-3668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-005979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155924
—
OH
Enumeration date
01/04/2006
Last updated
02/16/2022
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