Organization
ERIC R. WOLF, M.D., P.C.
Active
Other names
ERIC R. WOLF, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R. WOLF M.D. (PRESIDENT)
(860) 449-9090
Entity
Organization
Contact information
Practice address
495 GOLD STAR HWY, SUITE 108, GROTON, CT 06340-6228
(860) 449-9090
(860) 445-7246
Mailing address
495 GOLD STAR HWY, SUITE 108, GROTON, CT 06340-6228
(860) 449-9090
(860) 445-7246
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
023620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1236207
—
CT
Enumeration date
07/17/2007
Last updated
07/17/2007
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