Individual
THADDEUS L WANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 OLD POST RD N, CROTON ON HUDSON, NY 10520-1934
(914) 271-5026
(914) 271-6592
Mailing address
136 OLD POST RD N, CROTON ON HUDSON, NY 10520-1934
(914) 271-5026
(914) 271-6592
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
098683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00168263
—
NY
Enumeration date
08/12/2005
Last updated
12/15/2021
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