Individual
THERESE WOLPAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD447759
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924281
—
OH
01
—
110154981
MEDICARE RR-GA
OH
01
—
942460636169
CARESOURCE
OH
Enumeration date
06/08/2006
Last updated
02/08/2013
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