Individual
DR. MARK WILLIAM WOLFE
Active
Individual
DR. MARK WILLIAM WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72524
MA
207RI0011X
Interventional Cardiology Physician
72524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030686
BOSTON MEDICAL CENTER
MA
01
—
060058507
MEDICARE ID
MA
01
—
072524
TUFTS
MA
01
—
11091976
CAQH
—
01
—
1962500322
UNICARE
MA
01
—
22772959
AETNA
MA
01
—
25-00639
UNITED HEALTHCARE
MA
01
—
300157
HARVARD PILGRIM
MA
01
—
3094730-001
CIGNA
MA
05
—
3155595
—
MA
01
—
J16944
BLUE CROSS BLUE SHIELD
MA
01
—
S017060
TRICARE
MA
Enumeration date
09/20/2006
Last updated
03/18/2009
Update your record
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