MEDICARE: DR. MELVYN ARNOLD WOLF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD010274E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4065240	OTHER	PA	AETNA
2	0045480000	OTHER	PA	KEYSTONE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437199460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVYN ARNOLD WOLF M.D.

Provider Business Mailing Address
First Line	:	585 MASON DR
Second Line	:
City	:	BLUE BELL
State	:	PA
Zip	:	19422-3109
Country	:	US
Telephone Number	:	215-628-9726
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 SUMNEYTOWN PIKE
Second Line	:	SUITE 201
City	:	SPRING HOUSE
State	:	PA
Zip	:	19477-1011
Country	:	US
Telephone Number	:	215-542-1522
Fax Number	:	215-542-9609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/09/2007

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