Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC003773-L | PA |
NPI | 1316946346 |
---|---|
Provider Name | Dr. Eric Allen Wolfe |
First Address | Hellertown, PA 18055-1502 |
Second Address | Hellertown, PA 18055-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 07/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013944740005 | (05) | PA |
U33412 | (02) | PA |