Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 168909 | NY |
NPI | 1538109699 |
---|---|
Provider Name | Barry Witt |
First Address | Greenwich, CT 06830-6074 |
Second Address | Greenwich, CT 06830-6074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2020 |