Individual
DR. JAIME E WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1057 SECOND STREET PIKE, RICHBORO, PA 18954-1803
(215) 357-5760
(267) 364-2005
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS018105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034342200
KEYSTONE IBC
PA
05
—
1031171710001
—
PA
01
—
117819200
PA DEPT OF LABOR
PA
01
—
3410256
HIGHMARK BLUE SHIELD
PA
01
—
5940869
AETNA
PA
Enumeration date
03/26/2013
Last updated
08/10/2018
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