Doctor Name: | DR. WARREN HARRY WITT |
NPI Number: | 1700862927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD-4672 |
Business Practice Address: | Makalapa Medical Clinic 480 Central Ave Pearl Harbor, HI - 968604908 |
Business Phone Number: | 8084731880 |
Business Fax Number: | 8084734411 |
Mailing Address: | 95-270 Waikalani Dr, J-303 MILILANI |
State: | HI |
Postal Code: | 967893527 |
Phone Number: | 8086232979 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-4672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |