Individual
EDWARD GERARD WITTELS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 SUMMIT AVE, FAIN 3, PROVIDENCE, RI 02906-2853
(401) 793-2920
(401) 793-2859
Mailing address
164 SUMMIT AVENUE, PROVIDENCE, RI 02906-2853
(401) 793-4001
(401) 793-4049
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
70358
MA
207RH0003X
Hematology & Oncology Physician
Primary
MD05201
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001997
—
RI
Enumeration date
04/26/2006
Last updated
07/08/2007
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