Provider Demographics
NPI:1629084231
Name:WITTER, JAMES P (MD, PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:WITTER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 DEMOCRACY BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-4872
Mailing Address - Country:US
Mailing Address - Phone:301-295-4512
Mailing Address - Fax:
Practice Address - Street 1:6701 DEMOCRACY BLVD
Practice Address - Street 2:SUITE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-594-1963
Practice Address - Fax:301-480-4543
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71161207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology