Provider Demographics
NPI:1437887569
Name:WEXFORD HEALTH SOLUTIONS PLLC
Entity Type:Organization
Organization Name:WEXFORD HEALTH SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AVOTRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-613-6239
Mailing Address - Street 1:10431 PERRY HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9200
Mailing Address - Country:US
Mailing Address - Phone:724-719-5280
Mailing Address - Fax:
Practice Address - Street 1:10431 PERRY HWY STE 300
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9200
Practice Address - Country:US
Practice Address - Phone:724-719-5280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty