Provider Demographics
NPI:1093756868
Name:BITAR, MARIA TERESA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:BITAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 STIRLING TERRACE
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2185
Mailing Address - Country:US
Mailing Address - Phone:973-790-9133
Mailing Address - Fax:973-790-5260
Practice Address - Street 1:547 UNION BLVD.
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2404
Practice Address - Country:US
Practice Address - Phone:973-790-4430
Practice Address - Fax:973-790-5260
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06399200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G99462Medicare UPIN