Provider Demographics
NPI:1558392225
Name:WOO, MARIANO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANO
Middle Name:
Last Name:WOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:2339 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5009
Practice Address - Country:US
Practice Address - Phone:717-812-3040
Practice Address - Fax:717-812-3049
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038357E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2107116OtherMAMSI-WMG
PA20060056OtherAH MERCY-WMG S GEORGE ST
PA4257133OtherAETNA
PA01133202OtherCAPITAL BLUE CROSS-WMG
PA81033OtherUNISON-WMG
PAP002861OtherGATEWAY-WMG
PA170571OtherHIGHMARK BLUE SHIELD
PA20011334OtherAH MERCY-WMG WINDSOR RD
MD529961OtherCAREFIRST MD BCBS
PA32665OtherJOHNS HOPKINS
PA43513OtherGEISINGER
PA0087906000OtherAMERIHEALTH 65 PA
PA170571OtherHIGHMARK BLUE SHIELD
PA0087906000OtherAMERIHEALTH 65 PA