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Individual

DR. JILL ANN WOLFGANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
131 POPLAR LN, MOUNT WOLF, PA 17347-9604
(717) 266-1995
Mailing address
131 POPLAR LN, MOUNT WOLF, PA 17347-9604
(717) 266-1995

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD423474
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100836752
PA
01
107438
JOHNS HOPKINS
PA
01
1536316
GATEWAY-YH&WMG
PA
01
1563380
HIGHMARK BLUE SHIELD
PA
01
641422
CAREFIRST MD BCBS
MD
01
7253521
AETNA
PA
01
88400
GEISINGER
PA
Enumeration date
11/23/2005
Last updated
11/09/2010
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