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Organization

RUTHERFORD WOMEN AND ADOLESCENT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE OSWALD WITTER M.D (OWNER)
(201) 438-0539
Entity
Organization

Contact information

Practice address
17 SYLVAN ST, SUITE 201, RUTHERFORD, NJ 07070-2037
(201) 438-0539
(201) 438-2108
Mailing address
PO BOX 25, RUTHERFORD, NJ 07070-0025
(201) 438-0539
(201) 438-2108

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MAO51466
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0777901
NJ
Enumeration date
06/15/2010
Last updated
06/15/2010
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