Individual
CHRISTOPHER WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
530 1ST AVE STE 6C, NEW YORK, NY 10016-6402
(212) 263-7302
Mailing address
530 1ST AVE STE 6C, NEW YORK, NY 10016-6402
(212) 263-7302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
307263
NY
208600000X
Surgery Physician
D61658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405112200
—
MD
Enumeration date
06/23/2006
Last updated
07/13/2021
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