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General NPI Number Information
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NPI Number | 1215147723
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Entity Type | Organization
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Legal Business Name | WOLFF ORTHOPEDIC AND SPORTS MEDICINE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 805 E OLDTOWN RD STE B
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City | CUMBERLAND
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State | MD
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Zip | 21502-4053
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Country | US
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Telephone | 240-964-4887
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Fax | 240-964-4883
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Provider Business Mailing Address
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Address Line | 805 E OLDTOWN RD STE B
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City | CUMBERLAND
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State | MD
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Zip | 21502-4053
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Country | US
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Telephone | 240-410-0401
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGG WOLFF
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Credential | MD
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Telephone | 240-964-4887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | D0048127
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License Number State | MD
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