Individual
WILLIAM M UFFNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-4600
Mailing address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-4600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD016143E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006801110001
—
PA
01
—
MD016143E
LICENSE NUMBER
PA
Enumeration date
05/18/2006
Last updated
07/08/2007
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