Individual
LUCAS EDWARD WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HERRICK ST, BEVERLY HOSPITAL, BEVERLY, MA 01915-1790
(978) 922-3000
(978) 356-5548
Mailing address
85 HERRICK ST, BEVERLY HOSPITAL, BEVERLY, MA 01915-1790
(978) 922-3000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
150874
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3173852
—
MA
Enumeration date
11/09/2006
Last updated
12/21/2015
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