Individual
DR. BRYAN A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, ROOM 5135, PHILADELPHIA, PA 19104-4306
(215) 590-2266
(215) 590-2171
Mailing address
3400 CIVIC CENTER BLVD, ROOM 5135, PHILADELPHIA, PA 19104
(215) 590-2266
(215) 590-2171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
043053-L
PA
174400000X
Specialist
—
NJ
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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