Individual
KENNETH H WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W 6TH ST, STE 5, MEDIA, PA 19063-2428
(610) 566-8342
(610) 891-8566
Mailing address
100 W 6TH ST, STE 5, MEDIA, PA 19063-2428
(610) 566-8342
(610) 891-8566
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD042402L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459882
AETNA/USH
—
Enumeration date
08/23/2005
Last updated
10/31/2011
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