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Individual

BRUCE H WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 6TH ST SW, RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA, CANTON, OH 44710-1702
(330) 363-2842
(330) 580-5536
Mailing address
PO BOX 26035, RADIOLOGY ASSOCIATES OF CANTON, INC, AKRON, OH 44319-6035
(330) 493-0840
(330) 493-7123

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
35 029469
OH
2085N0700X
Neuroradiology Physician
35 029469
OH
2085N0904X
Nuclear Radiology Physician
35 029469
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35 029469
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0302336
OH
01
300064791
RAILROAD MEDICARE
OH
Enumeration date
12/05/2005
Last updated
09/23/2008
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