Provider Demographics
NPI:1780862987
Name:BITZ, KENNETH (RPH)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:
Last Name:BITZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2120
Mailing Address - Country:US
Mailing Address - Phone:973-283-2880
Mailing Address - Fax:973-657-1335
Practice Address - Street 1:1938 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-3001
Practice Address - Country:US
Practice Address - Phone:973-657-1333
Practice Address - Fax:973-657-1335
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01378900183500000X
NY025714-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist