Individual
DAN ANTONESCU WOLF
Active
Individual
DAN ANTONESCU WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
152817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00894564
—
NY
01
—
0118403
GHI
NY
01
—
P00354563
RAILROAD MEDICARE
—
Enumeration date
08/04/2006
Last updated
06/02/2008
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