person
Dr. Theodore Willis Laetsch JR., MD
Pediatrics Physician in Philadelphia, Pennsylvania
NPI 1154477834

Theodore Willis Laetsch JR. is a Pediatrics Physician based in Philadelphia, PA. Theodore Willis Laetsch JR. practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Theodore Willis Laetsch JR. is 1154477834 and holds a License No. P6853 (Pennsylvania).

The current practice location address for Theodore Willis Laetsch JR. is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 267-425-0126.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19104-4319
person
Provider Profile Details
NPI Number
1154477834
Provider Name
Theodore Willis Laetsch JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19104-4319
Phone Number
267-425-0126
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13339796 05 CO
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
267-425-0126
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
State
Zip
19104-4319
Phone Number
267-425-0126
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
MD436327 (Pennsylvania)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
P6853 (Texas)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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