# EDWARD T. WOLANSKI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225193972
- **Authorized official:** EDWARD T WOLANSKI MD (PRESIDENT)
- **Authorized official phone:** (434) 293-9800

## Contact information

- **Practice address:** 600 PETER JEFFERSON PKWY STE 300, CHARLOTTESVILLE, VA 22911-8837
- **Practice address phone:** (434) 293-9800
- **Practice address fax:** (434) 977-0088
- **Mailing address:** 600 PETER JEFFERSON PKWY STE 300, CHARLOTTESVILLE, VA 22911-8837
- **Mailing address phone:** (434) 293-9800
- **Mailing address fax:** (434) 977-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101039930 | VA | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 07/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DG6598 | MEDICARE RAILROAD GROUP | VA |