Wolf, Jacqueline Lee

Wolf, Jacqueline Lee is an individual health care provider with primary practice located at 330 Brookline Ave # Rabb437 , Boston MA 02215-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Wolf, Jacqueline Lee can be contacted via phone (617) 667-4241.

Contact Information

Primary practice address
330 Brookline Ave # Rabb437 Boston MA 02215-5400
Phone: (617) 667-4241
Fax: (617) 667-5624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 43011 Massachusetts

Profile Details

NPI number 1821077314
LBN Legal business name Wolf, Jacqueline Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Apr 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821077314 NPPES
Massachusetts MEDICAID 0107999

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