Provider Demographics
NPI:1366504557
Name:WOLK, BRAD J (MD)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:J
Last Name:WOLK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5551 BARTLETT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1529
Mailing Address - Country:US
Mailing Address - Phone:412-521-8787
Mailing Address - Fax:
Practice Address - Street 1:1301 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1152
Practice Address - Country:US
Practice Address - Phone:724-226-7045
Practice Address - Fax:724-226-7416
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD023863E2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE40813Medicare UPIN