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Individual
STEVEN U WOLF
Active
Individual
STEVEN U WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS009131L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017390260001
—
PA
01
—
0706166000
IBC
—
01
—
1007278000
TPI GROUP MEDICAID ID
PA
01
—
597586
TPI MEDICARE GROUP ID
PA
01
—
CD4829
TPI GROUP RAILROAD MEDICARE
PA
Enumeration date
08/09/2006
Last updated
09/02/2014
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