Dr. Mordecai M. Witkin
Primary Podiatric Medicine
504 Valley Rd
Wayne
, New Jersey 07470-3534
Dr. Mordecai M. Witkin
Primary Podiatric Medicine
504 Valley Rd
Wayne
, New Jersey 07470-3534
(973) 325-9228
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Mordecai M. Witkin
- 72 Conforti Ave
- West Orange, NJ
- Zip : 07052-2828
- Phone : (973) 325-9228
Second Address
- Dr. Mordecai M. Witkin
- 504 Valley Rd
- Wayne, NJ
- Zip : 07470-3534
- Phone : (973) 696-6677
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 25MD00197600 | NJ |
National Provider Identifier
| NPI | 1023096997 |
|---|---|
| Provider Name | Dr. Mordecai M. Witkin |
| First Address | West Orange, NJ 07052-2828 |
| Second Address | Wayne, NJ 07470-3534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2006 |
| Last Update Date | 14/12/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.