Organization
EVELYN D WITKIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN K RYAN (MEDICAL BILLER)
(215) 322-6683
Entity
Organization
Contact information
Practice address
643 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3940
(215) 322-6683
(215) 396-8419
Mailing address
643 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3940
(215) 322-6683
(215) 396-8419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD018901E
PA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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