Provider Demographics
NPI:1053361717
Name:WEHBE, MARWAN ANIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:ANIS
Last Name:WEHBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S BRYN MAWR AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3120
Mailing Address - Country:US
Mailing Address - Phone:610-525-1000
Mailing Address - Fax:610-525-1001
Practice Address - Street 1:101 S BRYN MAWR AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3120
Practice Address - Country:US
Practice Address - Phone:610-525-1000
Practice Address - Fax:610-525-1001
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039101L207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020004597OtherRR MEDICARE IND. #
PA4413337OtherAETNA IND. PROVIDER #
PAP39742649OtherMULITPLAN IND PROVIDER #
PA842999OtherAETNA HMO IND PROV #
PA0045213000OtherIBC IND. PROVIDER #
PAP816776OtherOXFORD IND PROVIDER #
PA069883OtherBLUE SHIELD IND. #
PA270775OtherMAMSI IND PROVIDER #
PAP816776OtherOXFORD IND PROVIDER #
PA842999OtherAETNA HMO IND PROV #
PA069883JJWMedicare ID - Type UnspecifiedMEDICARE IND. PROVIDER #