Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD438777 | PA |
N | 207R00000X | Internist | 223916 | MA |
N | 111NI0900X | Internist | 223916 | MA |
N | 207RA0201X | Internist - Allergy & Immunology | MD438777 | PA |
N | 207RC0200X | Critical Care Medicine | MD438777 | PA |
Y | 207RP1001X | Pulmonary Disease | MD438777 | PA |
NPI | 1932175700 |
---|---|
Provider Name | Dr. Philip J Wexler |
First Address | Atlanta, GA 30309-1465 |
Second Address | Atlanta, GA 30309-1465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 21/01/2021 |