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Individual

DR. STEWART E. WOLFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
16817
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054006
ANTHEM BLUE CROSS
KY
01
1130651
PASSPORT
KY
05
37000130
KY
Enumeration date
02/27/2007
Last updated
03/10/2008
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