Provider Demographics
NPI:1497818843
Name:WHITMAN INTERNAL MEDICINE
Entity Type:Organization
Organization Name:WHITMAN INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BETESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-755-8575
Mailing Address - Street 1:2240 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3347
Mailing Address - Country:US
Mailing Address - Phone:215-755-8575
Mailing Address - Fax:215-271-8323
Practice Address - Street 1:2240 S 3RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3347
Practice Address - Country:US
Practice Address - Phone:215-755-8575
Practice Address - Fax:215-271-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWH703623Medicare ID - Type Unspecified