Individual
JEREMY D WITCOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
501 CETRONIA RD STE 125, ALLENTOWN, PA 18104-9569
(484) 526-1735
(866) 230-6583
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-1735
(866) 230-6583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00486300
NJ
363A00000X
Physician Assistant
Primary
MA056681
PA
363A00000X
Physician Assistant
PA9103071
FL
Other
Enumeration date
10/18/2005
Last updated
11/19/2025
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