Individual
MICHAEL PATRICK WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N. BROAD STREET, PHILADELPHIA, PA 19140
(215) 707-5030
(215) 707-3494
Mailing address
2450 W. HUNTING PARK AVENUE, 3RD FLOOR, PHILADELPHIA, PA 19129
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD447620
PA
207P00000X
Emergency Medicine Physician
MT1978879
PA
Other
Enumeration date
07/07/2010
Last updated
12/19/2013
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