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Individual

MR. EDWARD J WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1838 GREENE TREE RD, SUITE 400, BALTIMORE, MD 21208-6391
(410) 602-7782
(410) 602-2438
Mailing address
PO BOX 64589, BALTIMORE, MD 21264-4589
(410) 602-7782
(410) 602-2438

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0029606
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
395401300
MD
Enumeration date
08/31/2005
Last updated
04/25/2012
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