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Individual
ANNE B WHALEN
Active
Individual
ANNE B WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB12173300
NJ
207Q00000X
Family Medicine Physician
Primary
OS 008612 L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MB12173300
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS008612L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017082710006
—
PA
05
—
01708271
—
PA
01
—
0400375000
KEYSTONE IBC
PA
01
—
1482983
CIGNA PA
PA
01
—
30087554
KEYSTONE FIRST
PA
01
—
5905575
AETNA
PA
01
—
951546
HIGHMARK BLUE SHIELD
PA
01
—
P00926825
RAILROAD MEDICARE
PA
Enumeration date
08/19/2005
Last updated
03/31/2025
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