Doctor Name: | MR. JOHN M WOLFE |
NPI Number: | 1205140423 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 41079 |
Business Practice Address: | 31 E Butler Ave Ambler, PA - 190024513 |
Business Phone Number: | 2156468604 |
Business Fax Number: | 2156468608 |
Mailing Address: | 31 E Butler Ave, AMBLER |
State: | PA |
Postal Code: | 190024513 |
Phone Number: | 2156468604 |
Fax Number: | 2156468608 |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 41079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |