Wolf, Ronald Lee

Wolf, Ronald Lee is an individual health care provider with primary practice located at 3400 Spruce St Ground Floor Dulles, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Wolf, Ronald Lee can be contacted via phone (215) 662-3005.

Contact Information

Primary practice address
3400 Spruce St Ground Floor Dulles Philadelphia PA 19104
Fax: (215) 662-7011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD065619L Pennsylvania

Profile Details

NPI number 1497783526
LBN Legal business name Wolf, Ronald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 29th, 2012 - about 12 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 1497783526 NPPES
Pennsylvania MEDICAID 0017353210001

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