Basic Information
| Provider Information | |||||||||
| NPI: | 1891134490 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GROVER-WENK | ||||||||
| FirstName: | ANUPRIYA | ||||||||
| MiddleName: | |||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1605 N CEDAR CREST BLVD STE 110B | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181042351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109731410 | ||||||||
| FaxNumber: | 6109731449 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 YORK RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | JENKINTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190462852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154812725 | ||||||||
| FaxNumber: | 2154813013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2013 | ||||||||
| LastUpdateDate: | 11/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 273010 | MA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 19957 | NH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OT015161 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.