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NPI Code Detail

MEDICARE: ELIZABETH A WOLFF MD

MEDICARE:   ELIZABETH A WOLFF  MD
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
1207Q00000XFamily Medicine Physician211874NY
2207Q00000XFamily Medicine PhysicianMD449428PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750381984
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A WOLFF MD
Provider Business Mailing Address
First Line : 307 S FRONT ST
Second Line : 1ST FLOOR
City : HARRISBURG
State : PA
Zip : 17104-1621
Country : US
Telephone Number : 717-231-8540
Fax Number : 717-231-8588
Provider Business Practice Location Address
First Line : 1025 W HARRISBURG PIKE
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057-4848
Country : US
Telephone Number : 717-944-0491
Fax Number : 717-944-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/30/2014

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