Individual
CHRISTINE JOAN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(276) 639-5901
Mailing address
255 S 17TH ST STE 15002304, PHILADELPHIA, PA 19103-6231
(267) 639-5901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
LL35704
SC
2084P0800X
Psychiatry Physician
Primary
MD469854
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
06/11/2013
Last updated
07/21/2022
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