Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | M0466402 | PA |
NPI | 1093057671 |
---|---|
Provider Name | Tadeusz Witek |
First Address | Pittsburgh, PA 15219 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 25/03/2021 |