Individual
JONATHAN DAVID WOLKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4900
(717) 544-5907
Mailing address
PO BOX 4216, LANCASTER, PA 17604-4216
(717) 412-1295
(717) 509-6362
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA07169800
NJ
2085B0100X
Body Imaging Physician
MD423723
PA
2085R0202X
Diagnostic Radiology Physician
25MA07169800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD423723
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101206236
—
PA
Enumeration date
01/25/2006
Last updated
03/13/2020
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