Individual
TIMOTHY WOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 EAST 1ST ST, 6B, NEW YORK, NY 10003
(917) 453-6425
Mailing address
58 EAST 1ST ST, 6B, NEW YORK, NY 10003
(917) 453-6425
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
123312
NY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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