Individual
GEORGE J WOLTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063
(610) 891-3388
(610) 891-3680
Mailing address
1068 W BALTIMORE PIKE, MEDIA, PA 19063
(610) 891-3388
(610) 891-3680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0S004373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015071
—
PA
Enumeration date
01/31/2006
Last updated
07/08/2007
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