Wortzel, Richard D

Wortzel, Richard D is an individual health care provider with primary practice located at 3400 Civic Center Blvd Suite 1-330S, Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wortzel, Richard D can be contacted via phone (215) 662-2737.

Contact Information

Primary practice address
3400 Civic Center Blvd Suite 1-330S Philadelphia PA 19104-5127
Phone: (215) 662-2737
Fax: (218) 752-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 039074-E Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MA54018 New Jersey
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD039074E Pennsylvania

Profile Details

NPI number 1588645451
LBN Legal business name Wortzel, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588645451 NPPES
Pennsylvania Other 0094865 AETNA
Pennsylvania Other 0324685000 AETNA

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