Individual
DR. ANNELIES LUTGARDE DE WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(504) 382-9283
Mailing address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(504) 382-9283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
203705
LA
207P00000X
Emergency Medicine Physician
Primary
2647861
NY
207P00000X
Emergency Medicine Physician
PGY.1.LSUN-EM
LA
Other
Enumeration date
06/30/2008
Last updated
09/11/2012
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