Individual
STEPHEN PAUL WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33672 BAYVIEW MEDICAL DR FL 1, LEWES, DE 19958-1687
(302) 703-3630
(302) 645-8473
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 313-2298
(302) 645-3691
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0011502
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0011502
DELAWARE STATE LICENSE
DE
Enumeration date
09/14/2009
Last updated
09/22/2021
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