Susan D Wolf
Dermatologist
136 N San Mateo Dr Fl 2
San Mateo
, California 94401-2778
Susan D Wolf
Dermatologist
136 N San Mateo Dr Fl 2
San Mateo
, California 94401-2778
(650) 348-0788
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Susan D Wolf
- 136 N San Mateo Dr 2nd Floor
- San Mateo, CA
- Zip : 94401-2777
- Fax : (650) 348-0788
- Phone : (650) 348-1242
Second Address
- Susan D Wolf
- 136 N San Mateo Dr Fl 2
- San Mateo, CA
- Zip : 94401-2778
- Fax : (650) 348-0788
- Phone : (650) 348-1242
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What type of doctor is Susan D Wolf
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A66326 | CA |
National Provider Identifier
| NPI | 1043206261 |
|---|---|
| Provider Name | Susan D Wolf |
| First Address | San Mateo, CA 94401-2777 |
| Second Address | San Mateo, CA 94401-2778 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2005 |
| Last Update Date | 06/04/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H34667 | (02) | |
| H34667 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.