Individual
DR. MARTIN EDMUND WENDELKEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1740 EASTCHESTER RD, CENTER FOR PALLIATIVE WOUND CARE, BRONX, NY 10461-2300
(646) 220-1745
Mailing address
610 BOULEVARD, ELMWOOD PARK, NJ 07407-1343
(646) 220-1745
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00902612
—
NY
Enumeration date
01/24/2007
Last updated
01/06/2010
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