Individual
VIRA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
479 HARTFORD DR, NUTLEY, NJ 07110-3944
(718) 501-0308
Mailing address
479 HARTFORD DR, NUTLEY, NJ 07110-3944
(718) 501-0308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA10973300
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
294697
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2013
Last updated
01/06/2021
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