Individual
ELIZABETH THERESA WOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1248
(484) 622-1269
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD448911
PA
207L00000X
Anesthesiology Physician
MT195106
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366081
—
NJ
05
—
102850410 0001
—
PA
05
—
102850410000
—
PA
01
—
MD448911
UNRESCTRICTED
PA
01
—
MT195106
MEDICAL TRAINING LICENSE
PA
Enumeration date
04/07/2009
Last updated
03/07/2023
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