Healthcare Provider Details

I. General information

NPI: 1932197159
Provider Name (Legal Business Name): WENDY A VAKS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N WEST END BLVD
QUAKERTOWN PA
18951-1180
US

IV. Provider business mailing address

99 N WEST END BLVD
QUAKERTOWN PA
18951-1180
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-3200
  • Fax:
Mailing address:
  • Phone: 215-536-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: