Individual
JEFFREY M WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 OLD FERN HILL RD, BLDG A, STE 5, WEST CHESTER, PA 19380
(610) 696-2850
(610) 696-7159
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(267) 479-4142
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD035773E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001229274
—
PA
Enumeration date
12/11/2006
Last updated
05/23/2018
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