Individual
MS. THEODORE OSWALD WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 SYLVAN ST STE 201, RUTHERFORD, NJ 07070-2069
(201) 438-2824
(201) 438-2108
Mailing address
17 SYLVAN ST STE 201, RUTHERFORD, NJ 07070-2069
(201) 438-2824
(201) 438-2108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA051466
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777901
—
NJ
Enumeration date
08/13/2006
Last updated
07/08/2007
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