Individual
DENISE WYNNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5753 WAYNE AVE, PHILADELPHIA, PA 19144
(215) 848-8800
(215) 848-6036
Mailing address
101 E OLNEY AVE, #505, PHILADELPHIA, PA 19120
(215) 254-2630
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD043473L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144549300006
—
PA
Enumeration date
02/06/2006
Last updated
11/23/2010
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