Individual
RICHARD WHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W 59TH ST, STE 7B, NEW YORK, NY 10019-8022
(212) 523-8172
Mailing address
PO BOX 95000-3980, PHILADELPHIA, PA 19195-3980
(212) 523-8172
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
162960-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093645
—
NY
Enumeration date
10/24/2006
Last updated
10/22/2012
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