Wolf, Bertil F

Wolf, Bertil F is an sole proprietor health care provider with primary practice located at 496 Lynnfield St , Lynn MA 01904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Wolf, Bertil F can be contacted via phone (781) 593-3400.

Contact Information

Primary practice address
496 Lynnfield St Lynn MA 01904
Phone: (781) 593-3400
Fax: (781) 477-1195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31674 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31674 Massachusetts

Profile Details

NPI number 1871549535
LBN Legal business name Wolf, Bertil F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871549535 NPPES
Massachusetts MEDICAID 0194395

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