Individual
WINIFRED MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 1 MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-2459
Mailing address
3400 SPRUCE ST, 1 MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-2459
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MT193189
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT193189
PA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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