Individual
RAYMOND WEDDERBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-5295
Mailing address
PO BOX 95000-2401, PHILADELPHIA, PA 19195-2401
(212) 523-5295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1734071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281974
—
NY
Enumeration date
10/14/2005
Last updated
10/24/2012
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