Wandalowski, John Gerald

Wandalowski, John Gerald is an sole proprietor health care provider with primary practice located at 200 Old Post Road , Clarks Summit PA 18411-1083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wandalowski, John Gerald can be contacted via phone (570) 587-1306.

Contact Information

Primary practice address
200 Old Post Road Clarks Summit PA 18411-1083
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD014228E Pennsylvania

Profile Details

NPI number 1770735979
LBN Legal business name Wandalowski, John Gerald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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