Provider Demographics
NPI:1215231907
Name:WHALEN, WILLIAM F (PA-C)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:F
Last Name:WHALEN
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1350 EDGMONT AVE
Mailing Address - Street 2:STE 1500
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3962
Mailing Address - Country:US
Mailing Address - Phone:610-619-8290
Mailing Address - Fax:
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1763
Practice Address - Country:US
Practice Address - Phone:484-527-2232
Practice Address - Fax:484-527-0408
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2018-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA053718363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical