Organization
STEPHEN M WOLK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M WOLK MD (MD)
(570) 455-4428
Entity
Organization
Contact information
Practice address
943 N CHURCH ST, HAZLETON, PA 18201-1839
(570) 455-4428
(570) 455-6277
Mailing address
943 N CHURCH ST, HAZLETON, PA 18201-1839
(570) 455-4428
(570) 455-6277
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038358L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009196560001
—
PA
Enumeration date
07/25/2006
Last updated
12/17/2009
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