Provider Demographics
NPI:1770850695
Name:GALFAND, WENDRA JANE (DO)
Entity Type:Individual
Prefix:DR
First Name:WENDRA
Middle Name:JANE
Last Name:GALFAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 GLIDER ST APT 203
Mailing Address - Street 2:
Mailing Address - City:FORT LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:28307-2761
Mailing Address - Country:US
Mailing Address - Phone:610-745-0460
Mailing Address - Fax:
Practice Address - Street 1:2750 GLIDER ST APT 203
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28307-2761
Practice Address - Country:US
Practice Address - Phone:610-745-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA67020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine