Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore Willis Laetsch Jr., MD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1154477834

Dr. Theodore Willis Laetsch Jr., MD is a Pediatric Hematology & Oncology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania and Texas. Registered with an NPI since 2007.

Licensed in
PA, TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 425-0126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD436327 (PA)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence P6853 (TX)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence MD436327 (PA)

Record details

NPI number1154477834
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

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