Provider Demographics
NPI:1437396579
Name:PENNSYLVANIA HAND CENTER LTD
Entity Type:Organization
Organization Name:PENNSYLVANIA HAND CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEHBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-525-1000
Mailing Address - Street 1:101 S BRYN MAWR AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3120
Mailing Address - Country:US
Mailing Address - Phone:610-525-1000
Mailing Address - Fax:610-525-1001
Practice Address - Street 1:101 S BRYN MAWR AVE
Practice Address - Street 2:STE 300
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3120
Practice Address - Country:US
Practice Address - Phone:610-525-1000
Practice Address - Fax:610-525-1001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PENNSYLVANIA HAND CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039101L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0437347000OtherINDEPENDENCE BLUE CROSS