Viktoriya Wolfe, | |
5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 | |
(610) 262-6641 | |
Not Available |
Full Name | Viktoriya Wolfe |
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Gender | Female |
Speciality | Pediatrics |
Location | 5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740774645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD474961 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Valley Health Partners Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
Mailing Address | Practice Location Address |
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Viktoriya Wolfe, Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Viktoriya Wolfe, 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 Ph: (610) 262-6641 |
Dr. Barbara Levin Katz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Colleen Mccamant Fitzpatrick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Nicole Zeiner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6647 | |
Dr. Brian Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428 | |
Alisa Chanchenchop, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 |