Individual
RALPH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
630 W DIVISION ST, SUITE F, DOVER, DE 19904-2760
(302) 674-3366
(302) 674-3360
Mailing address
125 E MERRITT ISLAND CSWY, SUITE 209 #405, MERRITT ISLAND, FL 32952-3699
(410) 778-1933
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
C2-0003033
DE
2084F0202X
Forensic Psychiatry Physician
H0032854
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262456700
—
FL
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
C2-0003033
PHYSICIAN LICENSE
DE
01
—
D00343
CONTROLLED SUBSTANCE LICE
DE
01
—
H0032854
DHMH
MD
01
—
OS 8277
ST OF FL DEPT OF HEALTH L
FL
Enumeration date
07/18/2006
Last updated
03/07/2023
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