Individual
MR. GARY L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-5224
(508) 793-6938
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
49355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6180124
—
MA
01
—
J02899
BCBS OF MA
MA
Enumeration date
07/03/2006
Last updated
11/10/2020
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