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Individual

DR. WILLIAM A WEGENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 STANFIELD AVE, BROOMALL, PA 19008-2743
(610) 353-4738
Mailing address
22 STANFIELD AVE, BROOMALL, PA 19008-2743
(610) 353-4738

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
25MA07350900
NJ
207U00000X
Nuclear Medicine Physician
Primary
MD042734E
PA

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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