Provider Demographics
NPI:1144270406
Name:WITT, CHRISTOPHER JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:WITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:425 N 21ST ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2223
Mailing Address - Country:US
Mailing Address - Phone:717-761-4844
Mailing Address - Fax:717-761-8953
Practice Address - Street 1:425 N 21ST ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2223
Practice Address - Country:US
Practice Address - Phone:717-761-4844
Practice Address - Fax:717-761-8953
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD423767L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI06567Medicare UPIN