Individual
WENDY SOYINI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5346 CEDAR AVE, PHILADELPHIA, PA 19143
(215) 747-6661
(215) 471-1418
Mailing address
5346 CEDAR AVE, PHILADELPHIA, PA 19143
(215) 747-6661
(215) 471-1418
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD035036E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010292640019
—
PA
Enumeration date
05/03/2006
Last updated
01/12/2012
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