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Individual

DAVID J WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 E 61ST ST, NEW YORK, NY 10065-8183
(212) 688-7100
(212) 308-5242
Mailing address
115 E 61ST ST, NEW YORK, NY 10065-8183
(212) 688-7100
(212) 308-5242

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
121007
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0719220972
RR MEDICARE
NY
Enumeration date
10/20/2006
Last updated
01/26/2009
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