Wolf, Mark
Wolf, Mark is an individual health care provider with primary practice located at 1000 Asylum Ave Suite 4319, Hartford CT 06105-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wolf, Mark can be contacted via phone (860) 714-4440.Contact Information
Primary practice address
1000 Asylum Ave Suite 4319
Hartford CT 06105-1770
Phone: (860) 714-4440
Fax: (860) 714-8012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 030531 | Connecticut |
Profile Details
| NPI number | 1023016185 |
|---|---|
| LBN Legal business name | Wolf, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Dec 20th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023016185 | NPPES |
| Connecticut | MEDICAID | 001305318 |
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