Individual
RALPH WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 HAMBURG TPKE, WAYNE, NJ 07470-2110
(973) 904-0404
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(603) 893-9784
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06322000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8651400
—
MA
Enumeration date
11/09/2005
Last updated
05/18/2010
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