Organization
DERMATOLOGY ASSOCIATES OF PLYMOUTH MEETING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN T WOLFE MD (OWNER)
(610) 828-0400
Entity
Organization
Contact information
Practice address
531 W GERMANTOWN PIKE, SUITES 200/201, PLYMOUTH MEETING, PA 19462-1325
(610) 828-0400
(610) 828-3869
Mailing address
531 W GERMANTOWN PIKE, SUITES 200/201, PLYMOUTH MEETING, PA 19462-1325
(610) 828-0400
(610) 828-3869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046672000
INDEPENDENCE BLUE CROSS
PA
01
—
472774
AETNA
PA
Enumeration date
04/12/2006
Last updated
04/13/2015
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