Provider Demographics
NPI:1023071040
Name:WITMAN, JEFFREY MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MICHAEL
Last Name:WITMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1525 OREGON PIKE
Mailing Address - Street 2:SUITE 2101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4372
Mailing Address - Country:US
Mailing Address - Phone:717-397-3770
Mailing Address - Fax:717-397-3771
Practice Address - Street 1:1525 OREGON PIKE
Practice Address - Street 2:SUITE 2101
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4372
Practice Address - Country:US
Practice Address - Phone:717-397-3770
Practice Address - Fax:717-397-3771
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001905L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery