Organization
EWR MEDPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WITZ DC (DIRECTOR)
(973) 877-0991
Entity
Organization
Contact information
Practice address
339 BREWSTER RD, STE 201, NEWARK, NJ 07114
(973) 877-0991
Mailing address
339 BREWSTER RD, STE 201, NEWARK, NJ 07114
(973) 877-0991
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
25MA08091000
NJ
261QX0100X
Occupational Medicine Clinic/Center
Primary
38MC00672500
NJ
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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