Provider Demographics
NPI:1801122627
Name:WENDELKEN, HERBERT GEORGE (DO)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:GEORGE
Last Name:WENDELKEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 BERKLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1508
Mailing Address - Country:US
Mailing Address - Phone:610-645-5167
Mailing Address - Fax:
Practice Address - Street 1:435 BERKLEY RD
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1508
Practice Address - Country:US
Practice Address - Phone:610-645-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002627L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology