Individual
GWEN LAUREN VOGELSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/11/2026
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