Organization
CHEST DISEASES OF NORTHWESTERN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A WITTMANN MD (PRESIDENT)
(814) 864-4755
Entity
Organization
Contact information
Practice address
3580 PEACH ST, STE 103, ERIE, PA 16508-2776
(814) 864-4755
(814) 864-5430
Mailing address
3580 PEACH ST, STE 103, ERIE, PA 16508-2776
(814) 864-4755
(814) 864-5430
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008738600003
—
PA
Enumeration date
04/03/2006
Last updated
12/22/2009
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