Provider Demographics
NPI:1053464412
Name:WOLFE, PIERRE P (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:P
Last Name:WOLFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:12011 LEE-JACKSON MEMORIAL HIGHWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033
Practice Address - Country:US
Practice Address - Phone:703-383-5400
Practice Address - Fax:703-383-5547
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2011-01-06
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Provider Licenses
StateLicense IDTaxonomies
VA0101025443207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
012389M92Medicare ID - Type Unspecified
B05900Medicare UPIN