Individual
DR. RUSSELL G WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MAS
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0817
(434) 243-5233
(434) 244-9437
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101278257
VA
208600000X
Surgery Physician
S5808
TX
2086X0206X
Surgical Oncology Physician
Primary
0101278257
VA
2086X0206X
Surgical Oncology Physician
S5808
TX
Other
Enumeration date
03/08/2010
Last updated
08/23/2023
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