Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00286400 | NJ |
NPI | 1023051828 |
---|---|
Provider Name | Dr. Veronica R Wolf |
First Address | Holmdel, NJ 07733-1525 |
Second Address | Holmdel, NJ 07733-1525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 04/12/2009 |