Individual
RANDAL WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7201 RISING SUN AVE, PHILADELPHIA, PA 19111
(215) 722-8105
(215) 722-8107
Mailing address
7201 RISING SUN AVE, PHILA, PA 19111-3926
(215) 722-8105
(215) 722-8107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD024275E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009072160006
—
PA
Enumeration date
02/06/2006
Last updated
07/15/2010
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