Individual
MRS. MARIA BETH WULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7500 CENTRAL AVE, STE 108, PHILADELPHIA, PA 19111-2430
(215) 745-4050
Mailing address
5501 OLD YORK RD, KLIEN 510, PHILADELPHIA, PA 19141-3018
(215) 456-6930
(215) 456-3529
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051392
PA
Other
Enumeration date
12/11/2008
Last updated
08/21/2014
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