Individual
CHRISTINE WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 WOODBINE LANE, DANVILLE, PA 17822-8029
(570) 271-8050
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD460803
PA
207ND0900X
Dermatopathology Physician
MD460803
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT203687
PA
Other
Enumeration date
05/20/2013
Last updated
07/26/2023
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