Individual
JOSEPH WENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
626 KENILWORTH ST, PHILADELPHIA, PA 19147-2114
(516) 429-8302
Mailing address
626 KENILWORTH ST, PHILADELPHIA, PA 19147-2114
(516) 429-8302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004036
MI
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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