Individual
DR. RAYMOND A. WITTSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 821-5943
Mailing address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 821-5943
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
D0042198
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331950400
—
MD
01
—
903A
CAREFIRST MARYLAND
MD
01
—
DC8030
RAILROAD MEDICARE
MD
01
—
DE5302
RAILROAD MEDICARE
MD
01
—
J848
CAREFIRST DC
MD
Enumeration date
04/14/2006
Last updated
09/23/2015
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