Wedderburn, Raymond
Wedderburn, Raymond is an individual health care provider with primary practice located at 1111 Amsterdam Ave , New York NY 10025-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wedderburn, Raymond can be contacted via phone (212) 523-5295.Contact Information
Primary practice address
1111 Amsterdam Ave
New York NY 10025-1716
Phone: (212) 523-5295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1734071 | New York |
Profile Details
| NPI number | 1750370524 |
|---|---|
| LBN Legal business name | Wedderburn, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Oct 24th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750370524 | NPPES |
| New York | MEDICAID | 01281974 |
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