John Gerald Wandalowski

NPI #1770735979 in Clarks Summit, Pennsylvania

Provider Information

NPI Number: 1770735979
Entity Type: Individual
Name: John Gerald Wandalowski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 200 OLD POST ROAD
City: Clarks Summit
State: Pennsylvania
ZIP Code: 18411-1083
Phone: (570) 587-1306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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