Individual
DR. WOLFGANG A.K. RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-6212
(302) 651-4945
Mailing address
PO BOX 191, NEMOURS CHILDRENS CLINIC, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
C10007564
DE
2080P0202X
Pediatric Cardiology Physician
MA08036300
NJ
2080P0202X
Pediatric Cardiology Physician
MD421670
PA
2080P0202X
Pediatric Cardiology Physician
Primary
ME122547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001962947
—
PA
05
—
02661374
—
NY
05
—
4069731
—
MD
05
—
6357202
—
NJ
05
—
910139000
—
FL
Enumeration date
09/29/2006
Last updated
09/28/2015
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