Doctor Name: | WILLIAM B WOLF |
NPI Number: | 1316262124 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D30363 |
Business Practice Address: | 14915 Broschart Rd Suite 104 Rockville, MD - 208503350 |
Business Phone Number: | 3012941122 |
Business Fax Number: | 3012942239 |
Mailing Address: | 779 Route 211 E, MIDDLETOWN |
State: | NY |
Postal Code: | 109411459 |
Phone Number: | 8456922487 |
Fax Number: | 8456922496 |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D30363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |