Individual
DR. THEODORE R WHITNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 CEDAR AVE, SUITE 226, PHILADELPHIA, PA 19143-1917
(215) 471-0600
(214) 471-7032
Mailing address
5301 CEDAR AVE, SUITE 226, PHILADELPHIA, PA 19143-1917
(215) 471-0600
(214) 471-7032
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD026440L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0688880
—
PA
Enumeration date
11/10/2006
Last updated
07/08/2007
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