Individual
DR. CHARLES WAMBULWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 W RITTENHOUSE ST, PHILADELPHIA, PA 19144-4325
(215) 609-4413
Mailing address
633 W RITTENHOUSE ST, PHILADELPHIA, PA 19144-4325
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MT188442
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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