Individual
DR. BRUCE S. WOLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 821-1334
Mailing address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2065
(410) 337-7900
(410) 821-1334
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0031474
MD
207XS0106X
Orthopaedic Hand Surgery Physician
D0031474
MD
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
D0031474
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331950400
—
MD
01
—
903A
CAREFIRST MARYLAND
MD
01
—
DC8030
RAILROAD MEDICARE
MD
01
—
DE5302
RAILROAD MEDICARE
MD
01
—
J848
CAREFIRST DC
MD
Enumeration date
04/14/2006
Last updated
11/13/2013
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