Individual
STEVEN JAY WOLFSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 GRAMPIAN BLVD, STE 2F, WILLIAMSPORT, PA 17701-1900
(570) 323-4010
(570) 323-4630
Mailing address
1201 GRAMPIAN BLVD, STE 2F, WILLIAMSPORT, PA 17701-1900
(570) 323-4010
(570) 323-4630
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD040912E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011196570003
—
PA
01
—
080132
FPH
PA
01
—
78200
BC BS
PA
Enumeration date
09/06/2005
Last updated
07/08/2007
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