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Individual

MR. GREGG WOLFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
805 OLDTOWN ROAD, SUITE B, CUMBERLAND, MD 21502-4053
(240) 410-0401
(240) 362-7173
Mailing address
805 OLDTOWN ROAD, SUITE B, CUMBERLAND, MD 21502-4053
(240) 410-0401
(240) 362-7173

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19766
NH
207X00000X
Orthopaedic Surgery Physician
Primary
D0048127
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
173207ZFT6
PTAN
05
850144100
MD
05
8501441P0000
MD
Enumeration date
06/06/2006
Last updated
05/17/2023
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