Organization
WITTING MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ALLELY M.D. (MANAGING MEMBER)
(571) 214-6550
Entity
Organization
Contact information
Practice address
64 THOMAS JOHNSON DR, FREDERICK, MD 21702-4734
(571) 214-6550
Mailing address
64 THOMAS JOHNSON DR, FREDERICK, MD 21702-4734
(571) 214-6550
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/13/2021
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