Individual
JULIA MARGARET WETHERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-5507
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9019
(614) 293-3381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181073
—
OH
Enumeration date
09/02/2015
Last updated
08/11/2022
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