Individual
ANNA WUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 PROGRESS DR STE 102, DOYLESTOWN, PA 18901-2557
(215) 230-0600
(215) 230-7065
Mailing address
PO BOX 829641, PHILADELPHIA, PA 19182-9641
(267) 370-5285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063518
PA
Other
Enumeration date
06/13/2019
Last updated
07/10/2024
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