Provider Demographics
NPI:1275595035
Name:WERBITT, WARREN (DO, MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:
Last Name:WERBITT
Suffix:
Gender:M
Credentials:DO, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 E ROUTE 70
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4507
Mailing Address - Country:US
Mailing Address - Phone:856-429-4433
Mailing Address - Fax:856-424-6732
Practice Address - Street 1:1939 E ROUTE 70
Practice Address - Street 2:SUITE 250
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4507
Practice Address - Country:US
Practice Address - Phone:856-429-4433
Practice Address - Fax:856-424-6732
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02186300207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0073733000OtherAMERIHEALTH
NJ100003379OtherMEDICARE RAILROAD
NJ16297OtherAETNA
NJCA00000900OtherAMERICHOICE
NJ1322970OtherFIRST HEALTH
NJNJ3946OtherQUAL MED
NJ1121029-003OtherCIGNA
NJ916683OtherUNITED HEALTHCARE
NJ1002713OtherHORIZON MERCY
NJ2213508Medicaid
PA41857OtherBLUE SHIELD
NJ0073733000OtherKEYSTONE
NJ222083813OtherBLUE SHIELD
NJ82514OtherAMERIGROUP
NJJS158OtherOXFORD
NJ2499385OtherGHI
NJOK6312OtherPHS HEALTHNET
NJ222083813OtherBLUE SHIELD
NJ41857ASHMedicare PIN