Individual
DR. MARCIA DEBRA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 WALKER AVE, SUITE 101, PIKESVILLE, MD 21208
(443) 213-8812
(443) 213-8813
Mailing address
4725 DORSEY HALL DR, SUITE A903, ELLICOTT CITY, MD 21042-7713
(443) 213-8812
(443) 213-8813
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D035010
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D035010
MD
208VP0000X
Pain Medicine Physician
D035010
MD
208VP0014X
Interventional Pain Medicine Physician
D035010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046614
RAILROAD MEDICARE
—
01
—
0W64MD
CAREFIRST BC/BS
MD
05
—
200704500
—
MD
01
—
277R
OLD MC
MD
01
—
S1770001
BLUE SHEILD NATIONAL CAPI
DC
Enumeration date
09/21/2005
Last updated
07/11/2018
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