Individual
STEPHEN M WOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MOISEY DRIVE SUITE 103, HAZLETON, PA 18202
(570) 501-6580
(570) 501-6598
Mailing address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038358L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009196560001
—
PA
Enumeration date
07/14/2006
Last updated
08/29/2019
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