Individual
TODD MAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3998 RED LION ROAD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD035326L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD035326L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000695820-0009
—
PA
Enumeration date
10/25/2005
Last updated
04/21/2009
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