# WOLF VASCULAR INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1639852700
- **Authorized official:** JOEL WOLF MD (CEO)
- **Authorized official phone:** (786) 303-7860

## Contact information

- **Practice address:** 2 BALA PLZ STE PL33, BALA CYNWYD, PA 19004-1505
- **Practice address phone:** (786) 303-7860
- **Mailing address:** 127 MAPLE AVE, BALA CYNWYD, PA 19004-3016
- **Mailing address phone:** (786) 303-7860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023