Provider Demographics
NPI:1043435548
Name:HOLWITT, DANA M (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:M
Last Name:HOLWITT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3699 US HIGHWAY 46 STE 4
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1049
Mailing Address - Country:US
Mailing Address - Phone:973-743-9900
Mailing Address - Fax:973-743-3222
Practice Address - Street 1:3699 US HIGHWAY 46 STE 4
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1049
Practice Address - Country:US
Practice Address - Phone:973-743-9900
Practice Address - Fax:973-743-3222
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20070083872086X0206X
NJ25MA08421800208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207306309Medicaid
966650181Medicare PIN
I71978Medicare UPIN