Individual
ANDREW EDWARD WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
3509 N BROAD ST FL 6, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MT228618
PA
Other
Enumeration date
05/23/2023
Last updated
08/15/2023
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