Individual
DR. JEFFREY STEPHEN WOLF
Active
Individual
DR. JEFFREY STEPHEN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0101031444
VA
208C00000X
Colon & Rectal Surgery Physician
9400174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005841232
—
VA
01
—
072337
ANTHEM
VA
01
—
200136
OPTIMA
VA
01
—
292832
MAMSI
VA
05
—
890528E
—
NC
Enumeration date
03/22/2007
Last updated
02/08/2008
Update your record
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