Individual
JANUSZ F WOLANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 S PROSPECT ST, NANTICOKE, PA 18634-2443
(570) 735-0102
Mailing address
233 S PROSPECT ST, NANTICOKE, PA 18634-2443
(570) 735-0102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039316L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009556800001
—
PA
01
—
002743
FIRST PRIORITY HEALTH
PA
01
—
099894
HIGHMARK BLUE SHIELD
PA
01
—
20003003
TRAVELERS MEDICARE
PA
01
—
2449970000
INDEPENDENCE BLUE CROSS
PA
01
—
29746
GEISINGER HEALTH PLAN
PA
Enumeration date
08/31/2005
Last updated
03/14/2016
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