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Individual

MS. CAROLYN MARIE WITZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1999 SPROUL RD STE 25, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 356-1836
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1601
(484) 337-1410

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051659
PA

Other

Enumeration date
07/25/2008
Last updated
03/17/2021
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