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Individual

DR. JEFFREY L. WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 PARNASSUS AVE STE A502, SAN FRANCISCO, CA 94143-2202
(415) 353-2421
(415) 353-2545
Mailing address
400 PARNASSUS AVE STE A502, SAN FRANCISCO, CA 94143-2202
(415) 353-2421
(415) 353-2545

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G254310
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0089940
CA
Enumeration date
10/17/2005
Last updated
07/08/2007
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