Individual
DR. ELIZABETH ANN WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2840 W DAUPHIN ST, PHILADELPHIA, PA 19132-4627
(215) 685-2401
(215) 685-2440
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 686-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048945L
PA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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