Individual
DR. JED WOLPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M.ED
Contact information
Practice address
1800 ORLEANS ST, ZAYED TOWER 9127 ACCM, BALTIMORE, MD 21287-0010
(410) 955-9080
(410) 955-8978
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D79446
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093810600
—
MD
01
—
P01689700
RRMC
MD
Enumeration date
11/16/2010
Last updated
10/11/2016
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