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Individual

DR. EDWARD JOSEPH WALKOWSKI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 MAIN ST, PECKVILLE, PA 18452-2009
(570) 383-5671
Mailing address
RR 1 BOX 434A, DALTON, PA 18414-9332
(570) 383-5671

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD029668E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011085910002
PA
Enumeration date
05/11/2006
Last updated
11/29/2017
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