Individual
DANIEL WITKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 CONFORTI AVE, WEST ORANGE, NJ 07052-2828
(862) 224-2852
Mailing address
72 CONFORTI AVE, WEST ORANGE, NJ 07052-2828
(862) 224-2852
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
007033
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
08/08/2022
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