A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology | |
Counselor |
101Y00000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Record Administrator |
246YR1600X |
| NPI Number | 1356060099 |
| LBN Legal business name | WELGEN ONE OF PENN LLC |
| Authorized official | SHANIRA DELACRUZ - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/25/2022 |
| Last updated | 11/08/2022 - About 4 years ago |
| Identifiers | n/a |
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WELGEN ONE OF PENN LLC
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