Paul J Witt Md | |
59 E Carey St Plains PA 18705-2007 | |
(570) 823-7643 | |
Not Available |
Full Name | Paul J Witt Md |
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Speciality | Family Medicine |
Location | 59 E Carey St, Plains, Pennsylvania |
Authorized Official Name and Position | Paul J Witt (OWNER) |
Authorized Official Contact | 5708237643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul J Witt Md 59 E Carey St Plains PA 18705-2007 Ph: (570) 823-7643 | Paul J Witt Md 59 E Carey St Plains PA 18705-2007 Ph: (570) 823-7643 |
NPI Number | 1679506935 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4385681758 |
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Medicare Enrollment ID | O20050418000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679506935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD039663-L (Pennsylvania) | Primary |
Provider Name | Paul J. Witt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154314888 PECOS PAC ID: 8820283153 Enrollment ID: I20101112000487 |
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