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Individual

DR. WOLFGANG HANS BAERWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 ALLIANCE ST, NEW PHILADELPHIA, PA 17959-1101
(570) 277-6218
(570) 277-6398
Mailing address
15 ALLIANCE ST, NEW PHILADELPHIA, PA 17959-1101
(570) 277-6218
(570) 277-6398

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD038695E
PA
2085R0001X
Radiation Oncology Physician
Primary
MD038695E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01179619
PA
Enumeration date
06/02/2005
Last updated
09/25/2009
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