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NPI Code Detail

MEDICARE: JUDITH A WOLFE MD PC

MEDICARE: JUDITH A WOLFE MD PC
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
1207Y00000XOtolaryngology PhysicianMD036775LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1038588OTHERHIGHMARK
21355829OTHERUMWA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
412735OTHERUPMC

General Provider Information

NPI Number : 1053369702
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUDITH A WOLFE MD PC
Provider Business Mailing Address
First Line : POST OFFICE BOX 728
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15907-0728
Country : US
Telephone Number : 814-539-7107
Fax Number : 814-533-1885
Provider Business Practice Location Address
First Line : 1020 FRANKLIN ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15905-4109
Country : US
Telephone Number : 814-535-7107
Fax Number : 814-533-1885
Authorized Official
Title or Position : OWNER
Name : JUDITH A WOLFE
Credential : MD
Telephone Number : 814-535-7107
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/22/2020

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Directions to “JUDITH A WOLFE MD PC ” Practice Location

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