DR. JERROLD STEVEN WITTERT M.D. NPI 1568793107

NPI Information

NPI: 1568793107
Provider Name: DR. JERROLD STEVEN WITTERT, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4462 17TH ST
SAN FRANCISCO, CA
ZIP 94114
Phone: (510) 537-5533
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DR. Jerrold Steven Wittert, M.D. is a specialist in San Francisco, CA. The provider is 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. DR. Jerrold Steven Wittert, M.D. NPI is 1568793107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4462 17TH ST
SAN FRANCISCO, CA
ZIP 94114-807
Phone: (510) 537-5533
Fax: (415) 861-6530

The enumeration date for this NPI number is 1/21/2010 and was last updated on 1/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G26317	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G263171	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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