Individual
DR. GEORGE ALLEN WOOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4379 ROUTE 28A, WEST SHOKAN, NY 12494-5110
(845) 704-7046
Mailing address
4379 ROUTE 28A, WEST SHOKAN, NY 12494-5110
(845) 704-7046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
096518
NY
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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