Individual
MIA WOLOSZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1872 ST LUKES BLVD, EASTON, PA 18045-5669
(484) 503-4007
Mailing address
400 S GREENWOOD AVE, EASTON, PA 18045-3776
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MT227839
PA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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