Individual
WILLIAM J WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 PARKVIEW AVE, PASADENA, CA 91103-2358
(516) 384-0557
Mailing address
1245 PARKVIEW AVE, PASADENA, CA 91103-2358
(626) 447-1058
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
150165
NY
2085N0904X
Nuclear Radiology Physician
G37929
CA
2085R0204X
Vascular & Interventional Radiology Physician
G37929
CA
2085U0001X
Diagnostic Ultrasound Physician
G37929
CA
Other
Enumeration date
09/27/2006
Last updated
03/15/2024
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