Individual
JUSTIN J BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
342 W GERMANTOWN PIKE, SUITE 200, EAST NORRITON, PA 19403-4260
(610) 279-1500
(610) 278-6065
Mailing address
342 W GERMANTOWN PIKE, SUITE 200, EAST NORRITON, PA 19403-4260
(610) 279-1500
(610) 278-6065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016053450008
—
PA
01
—
0983190000
IBC - PC/KHPE
PA
01
—
10923215
CAQH ID#
PA
01
—
16523-OS008722L
HEALTH PARTNERS
PA
01
—
1859552
CIGNA HMO/PPO
PA
01
—
2646497
AETNA HMO
PA
01
—
30028991
KEYSTONE MERCY
PA
01
—
379042
PHCS
PA
01
—
528278
HIGHMARK BLUE SHIELD
PA
01
—
5754511
AETNA PPO
PA
Enumeration date
06/09/2006
Last updated
07/09/2007
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