Provider Demographics
NPI:1023090248
Name:BITTERMAN, JEFFREY WARREN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WARREN
Last Name:BITTERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 197849
Mailing Address - Street 2:
Mailing Address - City:AGANA HEIGHTS
Mailing Address - State:GUAM
Mailing Address - Zip Code:96919
Mailing Address - Country:UM
Mailing Address - Phone:671-688-3805
Mailing Address - Fax:671-344-9446
Practice Address - Street 1:U.S. NAVAL HOSPITAL GUAM, FARENHOLT STREET
Practice Address - Street 2:BUILDING K-1
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GUAM
Practice Address - Zip Code:96919
Practice Address - Country:UM
Practice Address - Phone:671-344-9619
Practice Address - Fax:671-344-9446
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ26811207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG93855Medicare UPIN