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Contact Information

JOSEPH D WHITLARK, MD
905 UNIVERSITY DR
STATE COLLEGE, PA16801-6626
 Phone: 814-238-8418
 Fax: 814-234-2888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Sonography Radiologic Technologist

2471V0105X
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JOSEPH D WHITLARK · (Male)

NPI Number 1760461180
Status Active
Credentials MD
Entity Individual
Enumeration date 01/13/2006
Last updated 11/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 000722778
  • PA License # MD039559E
  • NC Medicaid 8912953
  • NC Other 12953 BLUE CROSS
  • NC Other 2293437A MEDICARE ID
Hospital affiliation(s)
  • CROZER CHESTER MEDICAL CENTER - (Acute Care)
    ONE MEDICAL CENTER BOULEVARD
    UPLAND, PA 19013
  • DELAWARE COUNTY MEMORIAL HOSPITAL - (Acute Care)
    501 NORTH LANSDOWNE AVE
    DREXEL HILL, PA 19026
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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