Individual
DR. THEODORE JOSEPH WILF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2610
(215) 456-2729
Mailing address
1054 WILSON AVE, GLEN MILLS, PA 19342-9613
(610) 358-2950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD017396E
PA
Other
Enumeration date
10/09/2006
Last updated
07/08/2007
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