Individual
DR. ANN S WITTPENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1440
Mailing address
353 BLAIR PARK ROAD, WILLISTON, VT 05495
(802) 847-1440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42-0009238
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005386
—
VT
05
—
E01748232
—
NY
Enumeration date
07/13/2006
Last updated
10/10/2013
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