Provider Demographics
NPI:1124065081
Name:MAILMAN, WENDY ROBIN (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ROBIN
Last Name:MAILMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3171 DOVECOTE DR
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5024
Mailing Address - Country:US
Mailing Address - Phone:215-538-3044
Mailing Address - Fax:
Practice Address - Street 1:333 N OXFORD VALLEY RD STE 510
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2629
Practice Address - Country:US
Practice Address - Phone:215-785-0145
Practice Address - Fax:215-785-0161
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 036934 E207L00000X
NJ25MA05324800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22-1994560OtherDEVON
NJ22-1994560OtherFIRST MCO
PA30032895OtherKEYSTONE MERCY
PA000060475OtherHIGHMARK BLUE SHIELD
NJ1171917OtherAETNA
PA1181515OtherAETNA
PAP00069572OtherRAILROAD MEDICARE
PA50059318OtherCAPITAL BLUE CROSS
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
PA22-1994560OtherPROCURA MANAGEMENT
PA1051606OtherFIRST HEALTH NETWORK
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
PA1208926Medicaid
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PA22-1994560OtherGREAT WEST HEALTHCARE
PA3690294OtherCIGNA
PA0075395000OtherKHPE, AMERIHEALTH, PERSONAL CHOICE
NJ1124065081OtherNATIONAL GOVERNMENT SERVICES
PA22-1994560OtherFIRST MCO
PA22-1994560OtherDEVON
NJ22-1994560OtherFIRST MCO
060475Medicare ID - Type Unspecified
NJ1124065081OtherNATIONAL GOVERNMENT SERVICES
PA3690294OtherCIGNA