Organization
MICHAEL C. PITTER, M D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C PITTER M.D. (PHYSICIAN)
(973) 926-4600
Entity
Organization
Contact information
Practice address
201 LYONS AVE # L-2, AT OSBOURNE TERRACE, NEWARK, NJ 07112-2027
(973) 926-4600
(973) 926-4601
Mailing address
PO BOX 111573, IRVINGTON, NJ 07111-0573
(973) 926-4600
(973) 926-4601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA57077
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6365108
—
NJ
Enumeration date
01/19/2007
Last updated
10/12/2007
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