Organization
PAUL V WOOLLEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL V WOOLLEY MD (PHYSICIAN/OWNER)
(814) 536-7510
Entity
Organization
Contact information
Practice address
88 OSBORNE ST, JOHNSTOWN, PA 15905-4146
(814) 536-7510
(814) 536-7527
Mailing address
PO BOX 488, JOHNSTOWN, PA 15907-0488
(814) 536-7510
(814) 536-7527
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD046527L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008421970001
—
PA
01
—
1510090
HIGHMARK BLUE CROSS
PA
Enumeration date
07/20/2005
Last updated
08/22/2020
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