Individual
JASON RAYMOND WOLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 HANOVER ST, WILKES BARRE, PA 18702-3549
(570) 808-8780
(570) 825-8785
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD459131
PA
Other
Enumeration date
03/27/2014
Last updated
07/08/2024
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