Individual
DR. GEN WEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2019
(570) 214-9585
(570) 214-9519
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD443986
PA
208M00000X
Hospitalist Physician
MD443986
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026301670001
—
PA
Enumeration date
10/15/2008
Last updated
12/03/2014
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