Provider Demographics
NPI:1588809859
Name:BITTAR, JOSEPH G (CA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:G
Last Name:BITTAR
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1531
Mailing Address - Country:US
Mailing Address - Phone:973-690-5666
Mailing Address - Fax:
Practice Address - Street 1:313 ADAMS ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1531
Practice Address - Country:US
Practice Address - Phone:973-690-5666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00065800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist