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Individual

DR. EDWARD WOLF I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
94 OLD SHORT HILLS RD, EAST WING, SUITE 402, LIVINGSTON, NJ 07039-5672
(973) 322-5287
(973) 322-2309
Mailing address
94 OLD SHORT HILLS RD, EAST WING, SUITE 402, LIVINGSTON, NJ 07039-5672
(973) 322-5287
(973) 322-2309

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA06073400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0973202000
AMERIHEALTH
NJ
01
1024513
HORIZON NJ HEALTH
NJ
01
160059360
RAILROAD MCR
NJ
01
28281
UHP
NJ
01
2996611
AETNA HMO
NJ
01
2K2136
HEALTHNET ID #
NJ
01
4526244
AETNA PPO
NJ
01
576E81
EMPIRE BC/BS OF NY ID #
NJ
05
6603009
NJ
01
8699975
GHI
NJ
01
P379112
OXFORD ID #
NJ
Enumeration date
06/01/2005
Last updated
11/12/2015
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