Individual
DR. STEPHEN WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5159
(724) 430-3382
Mailing address
PO BOX 1198, SOMERSET, PA 15501-0336
(814) 444-8910
(814) 444-9782
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD 057323-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016088570002
—
PA
01
—
0401455000
INDEPENDENCE BLUE CROSS
PA
01
—
WA674812
BLUE SHIELD
PA
Enumeration date
07/03/2006
Last updated
06/30/2008
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