MEDICARE: DR. THOMAS E. WOLANSKI 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
1	207Q00000X	Family Medicine Physician	0101046423	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1881758381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E. WOLANSKI MD

Provider Business Mailing Address
First Line	:	13198 JAMES MADISON HWY
Second Line	:
City	:	ORANGE
State	:	VA
Zip	:	22960-2851
Country	:	US
Telephone Number	:	540-672-3010
Fax Number	:	540-672-5713

Provider Business Practice Location Address
First Line	:	13198 JAMES MADISON HWY
Second Line	:
City	:	ORANGE
State	:	VA
Zip	:	22960-2808
Country	:	US
Telephone Number	:	540-672-3010
Fax Number	:	540-672-5713

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	04/07/2025

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