Individual
DR. THOMAS A WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 PEACH ST, SUITE 103A, ERIE, PA 16508-2776
(814) 864-4755
(814) 864-5430
Mailing address
4382 WINNERS CIR, ERIE, PA 16506-6610
(814) 833-1451
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD026724E
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD026724E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00085577300002
—
PA
Enumeration date
03/02/2006
Last updated
02/18/2010
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