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1093819377
JACK T WITZENFELD
CHESAPEAKE, VA
NPI
1093819377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110840299)
Enumeration Date
2006-09-08
Last Update Date
2010-11-05
Business Address
-- JACK T WITZENFELD P.A.
736 BATTLEFIELD BLVD N CHESAPEAKE GENERAL HOSPITAL
CHESAPEAKE, VA 23320-4941
Phone number: 757-490-9388
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Mailing Address
-- JACK T WITZENFELD P.A.
4536 BONNEY RD
VIRGINIA BEACH, VA 23462-3869
Phone number: 757-490-9388
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