Wolf Vascular Institute Pllc | |
2 Bala Plz Ste Pl33 Bala Cynwyd PA 19004-1505 | |
(786) 303-7860 | |
Not Available |
Full Name | Wolf Vascular Institute Pllc |
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Speciality | Radiology |
Location | 2 Bala Plz Ste Pl33, Bala Cynwyd, Pennsylvania |
Authorized Official Name and Position | Joel Wolf (CEO) |
Authorized Official Contact | 7863037860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wolf Vascular Institute Pllc 127 Maple Ave Bala Cynwyd PA 19004-3016 Ph: (786) 303-7860 | Wolf Vascular Institute Pllc 2 Bala Plz Ste Pl33 Bala Cynwyd PA 19004-1505 Ph: (786) 303-7860 |
NPI Number | 1639852700 |
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Provider Enumeration Date | 08/07/2023 |
Last Update Date | 08/07/2023 |
Medicare PECOS PAC ID | 2567811276 |
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Medicare Enrollment ID | O20231206003075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639852700 | NPI | - | NPPES |
Provider Name | Joel Andrew Wolf |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1306233911 PECOS PAC ID: 3072916204 Enrollment ID: I20220513000106 |
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