Healthcare Provider Details

I. General information

NPI: 1811947872
Provider Name (Legal Business Name): PENNSYLVANIA HAND CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S BRYN MAWR AVE SUITE 300
BRYN MAWR PA
19010-3120
US

IV. Provider business mailing address

101 S BRYN MAWR AVE SUITE 300
BRYN MAWR PA
19010-3120
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-1000
  • Fax: 610-525-1001
Mailing address:
  • Phone: 610-525-1000
  • Fax: 610-525-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMD039101L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberMD039101L
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARWAN A WEHBE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 610-525-1000