Individual
DANITA RENELSA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 SHARPE STREET, KINGSTON, PA 18704
(570) 552-8966
(570) 552-8958
Mailing address
54 WOODWARD DR, WILMINGTON, DE 19808-4342
(302) 561-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT196357
PA
Other
Enumeration date
05/27/2010
Last updated
05/21/2024
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