Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS026339L | PA |
Y | 213EG0000X | General Practice | DS026339L | PA |
NPI | 1003829599 |
---|---|
Provider Name | Dr. Gary Fritz Woerz |
First Address | Chalfont, PA 18914-3019 |
Second Address | Chalfont, PA 18914-3019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |