MEDICARE: MICHAEL A WOLFSON M.D.

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	2083X0100X	Occupational Medicine Physician	49891	MA

General Provider Information

NPI Number	:	1326288101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A WOLFSON M.D.

Provider Business Mailing Address
First Line	:	627 BRADFORD PKWY
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224-2001
Country	:	US
Telephone Number	:	315-449-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 BRADFORD PKWY
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224-2001
Country	:	US
Telephone Number	:	315-449-1707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2009
Last Update Date	:	05/17/2026

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