Organization
GEORGE WOOLF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WOOLF MD (PRESIDENT)
(845) 342-3306
Entity
Organization
Contact information
Practice address
210 EAST MAIN STREET, MIDDLETOWN, NY 10940-4088
(845) 342-3306
(845) 342-0111
Mailing address
210 EAST MAIN STREET, MIDDLETOWN, NY 10940-4088
(845) 342-3306
(845) 342-0111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
84949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00129364
—
NY
01
—
0015768
GHI
NY
01
—
077212
MVP
NY
01
—
0D2699
HN
NY
01
—
1000016205
AFF
NY
01
—
10052706
CDPHP
NY
01
—
217892
WELLCARE
NY
01
—
40222P
HIP
NY
01
—
4230941
AETNA
NY
01
—
46648747
MULTI PLAN
NY
01
—
P2106346
OXFORD
NY
Enumeration date
10/28/2009
Last updated
10/28/2009
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