# DR. JOSEPH L WOLFSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578552766
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 018043 | ME | Yes |
| 207Q00000X | Family Medicine Physician | 49653 | MA | — |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 02/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0166952 | — | MA |
| 05 | — | 433587799 | — | ME |
| 01 | — | G01060 | BLUE CROSS BLUE SHIELD-MA | MA |