Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | OOG401590 | CA |
NPI | 1073531356 |
---|---|
Provider Name | Dr. Murray Alan Woolf |
First Address | Fairfield, CA 94533-3589 |
Second Address | Fairfield, CA 94533-3589 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 24/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
680183940 | TAX ID (01) | CA |
A48115 | (02) | CA |