Provider Demographics
NPI:1750343281
Name:PAING, WYNN W (MD)
Entity type:Individual
Prefix:DR
First Name:WYNN
Middle Name:W
Last Name:PAING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8109 PENNHILL RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2723
Mailing Address - Country:US
Mailing Address - Phone:215-635-9228
Mailing Address - Fax:215-635-9228
Practice Address - Street 1:2910 FRANKS RD
Practice Address - Street 2:SUITE# 1
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-4215
Practice Address - Country:US
Practice Address - Phone:215-590-7294
Practice Address - Fax:215-590-7350
Is Sole Proprietor?:No
Enumeration Date:2006-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4253292084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry