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NPI Code Detail

MEDICARE: ABIGAIL WOLKENBERG PA

MEDICARE:   ABIGAIL  WOLKENBERG  PA
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
1363A00000XPhysician Assistant
2363A00000XPhysician AssistantC08333MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116027343OTHERMDWELLPOINT
27985884OTHERMDUHC
32341649OTHERMDCIGNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
56298096OTHERMDAETNA

General Provider Information

NPI Number : 1457927568
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL WOLKENBERG PA
Provider Business Mailing Address
First Line : 6830 HOSPITAL DR STE 206
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4377
Country : US
Telephone Number : 410-238-5390
Fax Number :
Provider Business Practice Location Address
First Line : 6830 HOSPITAL DR STE 206
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4377
Country : US
Telephone Number : 410-238-5390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2021
Last Update Date : 11/14/2025

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Directions to “ ABIGAIL WOLKENBERG PA” Practice Location

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