Individual
HEATHER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
485 ARSENAL ST, INTERNAL MEDICINE B, WATERTOWN, MA 02472-5091
(617) 972-5240
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223907
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494252
TUFTS
MA
01
—
AA44631
HARVARD PILGRIM
MA
01
—
J29407
BLUE CROSS
MA
Enumeration date
03/21/2006
Last updated
12/20/2021
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