Individual
ROBERT CHARLES WITCOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3803 S BASCOM AVE, SUITE 102, CAMPBELL, CA 95008-7317
(408) 286-1967
(408) 286-1967
Mailing address
3803 S BASCOM AVE, SUITE 102, CAMPBELL, CA 95008-7317
(408) 286-1967
(408) 286-1967
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10096
CA
Other
Enumeration date
04/10/2006
Last updated
04/29/2013
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