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NPI Code Detail

MEDICARE: WILLIAM M UFFNER M.D.

MEDICARE: WILLIAM M UFFNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD016143EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MD016143EOTHERPALICENSE NUMBER

General Provider Information

NPI Number : 1639122740
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M UFFNER M.D.
Provider Business Mailing Address
First Line : 4641 ROOSEVELT BLVD
Second Line :
City : PHILA
State : PA
Zip : 19124-2343
Country : US
Telephone Number : 215-831-4600
Fax Number :
Provider Business Practice Location Address
First Line : 4641 ROOSEVELT BLVD
Second Line :
City : PHILA
State : PA
Zip : 19124-2343
Country : US
Telephone Number : 215-831-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM M UFFNER M.D.” Practice Location

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