Provider Demographics
NPI:1538854625
Name:TAEB, WEDAD
Entity type:Individual
Prefix:
First Name:WEDAD
Middle Name:
Last Name:TAEB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1910
Mailing Address - Country:US
Mailing Address - Phone:267-400-6101
Mailing Address - Fax:
Practice Address - Street 1:210 HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1910
Practice Address - Country:US
Practice Address - Phone:267-400-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician