Individual
SHANE RAYMOND WITTKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3535 QUAKERBRIDGE RD STE 300, TRENTON, NJ 08619-1200
(609) 249-4645
(609) 337-2706
Mailing address
3535 QUAKERBRIDGE RD STE 300, TRENTON, NJ 08619-1200
(609) 249-4645
(609) 337-2706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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