Provider Demographics
NPI:1245208982
Name:WEN, JULIA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:Y
Last Name:WEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2700 QUARRY LAKE DRIVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209
Mailing Address - Country:US
Mailing Address - Phone:410-585-2830
Mailing Address - Fax:410-585-2831
Practice Address - Street 1:2700 QUARRY LAKE DR
Practice Address - Street 2:SUITE 260
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3742
Practice Address - Country:US
Practice Address - Phone:410-585-2830
Practice Address - Fax:410-585-2831
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0025883207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD72315Medicare UPIN