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Physician Compare National (NPI:1225089048)

HEALTHCARE PROVIDER: BRIAN DAVID WOLFF MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1225089048
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1951393081
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070719000163
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WOLFF
Individual professional last name
Provider First Name BRIAN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name RUTGERS NEW JERSEY MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty NEUROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 671 GOODLETTE RD N
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 120
Group Practice or individual's line 2 address
City NAPLES
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 341025615
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 100018
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NAPLES COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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