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Individual

DR. TEDDY JOHN WOHLBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
313425
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
313425
NY

Other

Enumeration date
03/21/2019
Last updated
06/12/2025
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