Provider Demographics
NPI:1922257740
Name:PRICE, WENDEL SHEFFIELD (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDEL
Middle Name:SHEFFIELD
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:POCASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02559-1736
Mailing Address - Country:US
Mailing Address - Phone:508-563-1771
Mailing Address - Fax:
Practice Address - Street 1:746 SHORE RD
Practice Address - Street 2:
Practice Address - City:POCASSET
Practice Address - State:MA
Practice Address - Zip Code:02559-1736
Practice Address - Country:US
Practice Address - Phone:508-563-1771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B16477Medicare UPIN
56D621Medicare PIN