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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

THEODORE P WASIK, MD
1 MEDICAL CENTER BLVD
POB I, SUITE 407
CHESTER, PA19013-3902
 Phone: 610-619-7354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for THEODORE P WASIK · (Male)

NPI Number 1003025776
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 05/26/2010 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 243789
  • PA License # MD433791
  • VA License # 0101241719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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