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Provider Information for 1912319013

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

GERALD BITTNER JR.

Gender: MALE

Individual NPI: 1912319013

Calendar   Last Updated:  2014-05-22
  Certification Date: 

Details

Name Value
NPI 1912319013
Enumeration Date 2014-05-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 890 SARATOGA AVE
SAN JOSE, CA 95129-2648
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 890 SARATOGA AVE
SAN JOSE, CA 95129-2648
United States

Phone: 408-247-8080 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 33725