Individual
DR. JILL ANN WOLFGANG
Active
Individual
DR. JILL ANN WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD423474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100836752
—
PA
01
—
107438
JOHNS HOPKINS
PA
01
—
1536316
GATEWAY-YH&WMG
PA
01
—
1563380
HIGHMARK BLUE SHIELD
PA
01
—
641422
CAREFIRST MD BCBS
MD
01
—
7253521
AETNA
PA
01
—
88400
GEISINGER
PA
Enumeration date
11/23/2005
Last updated
11/09/2010
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