Individual
DR. DANIEL L WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 SPROUL RD, SUITE 300, BROOMALL, PA 19008-3509
(610) 359-1355
(610) 359-9228
Mailing address
2000 SPROUL RD, SUITE 300, BROOMALL, PA 19008-3509
(610) 359-1355
(610) 359-9228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD028105E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD028105E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001053958
—
PA
01
—
232359401
PRACTICE LOCATION 2
PA
01
—
232668767
PRACTICE
PA
Enumeration date
01/19/2006
Last updated
04/08/2011
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