Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD31590 | DC |
NPI | 1104825249 |
---|---|
Provider Name | Dr. David Peter Wolfe |
First Address | Wheaton, MD 20902-1905 |
Second Address | Chevy Chase, MD 20815-6901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 26/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0002 | CAREFIRST OF DC (01) | DC |
0007666556 | AETNA (01) | |
2125367 | ALLIANCE (01) | |
2125367 | MAMSI (01) | |
2469052 | UNITED HEALTHCARE (01) | |
678520 | NCPPO (01) | |
89378002 | CAREFIRST OF MARYLAND (01) | MD |
H58974 | (02) |