Individual
CHRISTIAN FEDERICO WITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, MOSS 3RD FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-3930
(215) 456-3533
Mailing address
5501 OLD YORK RD, MOSS 3RD FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-3930
(215) 456-1432
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
234566
MA
207RC0000X
Cardiovascular Disease Physician
MD429681
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD429681
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102510300
—
PA
Enumeration date
09/15/2006
Last updated
07/10/2023
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