Individual
BROOKE WOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3726 E STATE ST, HERMITAGE, PA 16148-3409
(724) 342-5279
Mailing address
3694 LEE RUN RD, HERMITAGE, PA 16148-6182
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
SL008090
PA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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