Healthcare Provider Details

I. General information

NPI: 1568663516
Provider Name (Legal Business Name): ANDREW BARRETT WOLFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR STE 430
ARLINGTON VA
22205-3617
US

IV. Provider business mailing address

1635 N GEORGE MASON DR STE 430
ARLINGTON VA
22205-3617
US

V. Phone/Fax

Practice location:
  • Phone: 202-838-8837
  • Fax: 202-540-1922
Mailing address:
  • Phone: 202-838-8837
  • Fax: 202-540-1922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number0101243300
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberD0069597
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: