Provider Demographics
NPI:1043200314
Name:WITTICH, ARTHUR CLIFFORD (DO)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:CLIFFORD
Last Name:WITTICH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6725 CATSKILL RD
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1113
Mailing Address - Country:US
Mailing Address - Phone:703-541-4077
Mailing Address - Fax:703-805-0875
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:OB/GYN SERVICE
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0813
Practice Address - Fax:703-805-0875
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO33699207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology