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Organization
WOLF VASCULAR INSTITUTE PLLC
Active
Organization
WOLF VASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL WOLF MD (CEO)
(786) 303-7860
Entity
Organization
Contact information
Practice address
2 BALA PLZ STE PL33, BALA CYNWYD, PA 19004-1505
(786) 303-7860
Mailing address
127 MAPLE AVE, BALA CYNWYD, PA 19004-3016
(786) 303-7860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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