Organization
MARIE C WOLFGANG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE C WOLFGANG MD (PHYSICIAN/OWNER)
(302) 629-2366
Entity
Organization
Contact information
Practice address
1 CEDAR AVE, SEAFORD, DE 19973-3300
(302) 629-2366
(302) 629-6570
Mailing address
1 CEDAR AVE, SEAFORD, DE 19973-3300
(302) 629-2366
(302) 629-6570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0003884
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000814002
—
DE
01
—
553029
AETNA GROUP NUMBER
DE
Enumeration date
07/09/2006
Last updated
12/03/2009
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