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Ms. Theodore Oswald Witter, MD
Specialist in Rutherford, New Jersey
NPI 1386656577

Theodore Oswald Witter is a Specialist based in Rutherford, NJ. Theodore Oswald Witter practices in Rutherford, NJ and has the professional credentials of MD. The NPI Number for Theodore Oswald Witter is 1386656577 and holds a License No. MA051466 (New Jersey).

The current practice location address for Theodore Oswald Witter is 17 Sylvan St Ste 201, Rutherford, NJ and can be reached out via phone at 201-438-2824 and via fax at 201-438-2108.

Location: 17 Sylvan St Ste 201, Rutherford, NJ, 07070-2069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386656577
Provider Name
Theodore Oswald Witter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17 Sylvan St Ste 201, Rutherford, NJ, 07070-2069
Phone Number
201-438-2824
Fax Number
201-438-2108
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0777901 05 NJ
institution
Provider Business Practice Location Address Details
Address
17 Sylvan St Ste 201
City
Rutherford
State
New Jersey
Zip
07070-2069
Phone Number
201-438-2824
Fax Number
201-438-2108
person
Provider Business Mailing Address Details
Address
17 Sylvan St Ste 201
City
Rutherford
State
New Jersey
Zip
07070-2069
Phone Number
201-438-2824
Fax Number
201-438-2108
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA051466 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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