Individual
DR. JOSEPH L WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SHAPE DR, KENNEBUNK, ME 04043-6745
(207) 467-8988
(207) 467-8969
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018043
ME
207Q00000X
Family Medicine Physician
49653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166952
—
MA
05
—
433587799
—
ME
01
—
G01060
BLUE CROSS BLUE SHIELD-MA
MA
Enumeration date
10/19/2005
Last updated
02/09/2011
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