MEDICARE: MELVYN A. WOLF MDPC

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

General Provider Information

NPI Number	:	1306065677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELVYN A. WOLF MDPC

Provider Business Mailing 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

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	:	PRESIDENT
Name	:	DR. MELVYN ARNOLD WOLF
Credential	:	MD
Telephone Number	:	215-542-1522

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/22/2020

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