Individual
JOHN GERALD WANDALOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 OLD POST ROAD, CLARKS SUMMIT, PA 18411-1083
(570) 587-1306
Mailing address
200 OLD POST ROAD, CLARKS SUMMIT, PA 18411-1083
(570) 587-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014228E
PA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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