| Doctor Name: | DR. STUART WOLF |
| NPI Number: | 1033293394 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 835960 |
| Business Practice Address: | 3703 Tweedy Blvd South Gate, CA - 902806045 |
| Business Phone Number: | 3235661675 |
| Business Fax Number: | 3235660325 |
| Mailing Address: | 3703 Tweedy Blvd, SOUTH GATE |
| State: | CA |
| Postal Code: | 902806045 |
| Phone Number: | 3235661675 |
| Fax Number: | 3235660325 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 10/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 835960 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |