Individual
JOHN R WITTENBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 UNION AVE, SUITE B, BRIDGEWATER, NJ 08807-3063
(609) 261-5755
(609) 261-7199
Mailing address
PO BOX 363, BERNARDSVILLE, NJ 07924-0363
(908) 696-8940
(609) 261-7199
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MA070083
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231523000
AMERIHEALTH KEYSTONE PC
—
01
—
1161130
MECY HORIZON NJ HEALTH
—
01
—
2336458
AETNA
NJ
01
—
669902
HIGHMARK
—
01
—
P2052026
OXFORD
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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