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Individual

DR. GLENN BARNETT WOLFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6338 CHURCH STREET, CHINCOTEAGUE, VA 23336
(757) 990-1287
(757) 336-2211
Mailing address
6338 CHURCH STREET, CHINCOTEAGUE, VA 23336
(757) 990-1287
(410) 912-6386

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101039931
VA
207Q00000X
Family Medicine Physician
C1-0008915
DE
207Q00000X
Family Medicine Physician
D68067
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00X848P02
MEDICARE
VA
Enumeration date
11/02/2007
Last updated
06/19/2018
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