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Individual

MRS. SARAH MARIE WENDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMS, PA-C

Contact information

Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
350 E WILLOW GROVE AVE APT 412, PHILADELPHIA, PA 19118-4416
(716) 430-6916

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00612000
NJ
363A00000X
Physician Assistant
6120
CT
363A00000X
Physician Assistant
MA062387
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1172046
PHYSICIAN ASSISTANT CERTIFICATION BY NCCPA
01
25MP00612000
STATE LICENSE TO PRACTICE
NJ
01
6120
CONNECTICUT STATE LICENSE
CT
01
MA062387
STATE LICENSE TO PRACTICE
PA
Enumeration date
04/19/2021
Last updated
09/15/2023
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