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Individual

DR. JOHN F WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1255 S CEDAR CREST BLVD, SUITE 2200, ALLENTOWN, PA 18103-6256
(610) 740-5547
(484) 403-4027
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD030180E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080080153
PALMETTO GBA MEDICARE
PA
01
165461
HIGHMARK PA BLUE SHIELD
PA
01
50040859
CAPITAL BLUE CROSS
PA
Enumeration date
05/16/2006
Last updated
08/15/2016
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