MEDICARE: STEVEN U WOLF DO

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	207R00000X	Internal Medicine Physician	OS009131L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CD4829	OTHER	PA	TPI GROUP RAILROAD MEDICARE
5	597586	OTHER	PA	TPI MEDICARE GROUP ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0706166000	OTHER	IBC

General Provider Information

NPI Number	:	1861402828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN U WOLF DO

Provider Business Mailing Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 202
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-673-7070
Fax Number	:	215-673-2828

Provider Business Practice Location Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 202
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-673-7070
Fax Number	:	215-673-2828

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	09/02/2014

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Directions to “ STEVEN U WOLF DO” Practice Location

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