Individual
TIMOTHY PITTA
Active
Individual
TIMOTHY PITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19229200
NJ
163W00000X
Registered Nurse
652953-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01478700
NJ
Other
Enumeration date
07/31/2017
Last updated
05/23/2023
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