Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD039101L | PA |
NPI | 1053361717 |
---|---|
Provider Name | Dr. Marwan Anis Wehbe |
First Address | Bryn Mawr, PA 19010-3120 |
Second Address | Bryn Mawr, PA 19010-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 31/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0045213000 | IBC IND. PROVIDER # (01) | PA |
020004597 | RR MEDICARE IND. # (01) | PA |
069883 | BLUE SHIELD IND. # (01) | PA |
270775 | MAMSI IND PROVIDER # (01) | PA |
4413337 | AETNA IND. PROVIDER # (01) | PA |
842999 | AETNA HMO IND PROV # (01) | PA |
A01682 | (02) | PA |
P39742649 | MULITPLAN IND PROVIDER # (01) | PA |
P816776 | OXFORD IND PROVIDER # (01) | PA |