Individual
JEFFREY BITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 NEWELL RD, SUITE C11, BRISTOL, CT 06010-5100
(860) 582-9800
Mailing address
PO BOX 689, BOALSBURG, PA 16827-0689
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
020568
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001205681
—
CT
01
—
010020568CT03
ANTHEM BCBS
CT
01
—
020568
CONNECTICARE
CT
01
—
OR0799
PHS/HEALTHNET
CT
01
—
P1640940
OXFORD
CT
Enumeration date
04/10/2006
Last updated
10/21/2016
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