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Individual

JOHANNES E. WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40707
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
244325
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175626401
TX
Enumeration date
09/21/2006
Last updated
04/30/2013
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