Provider Demographics
NPI:1427031061
Name:WOLD, ANNE S (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:WOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:S
Other - Last Name:DEVI WOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:333 E 56TH ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3759
Mailing Address - Country:US
Mailing Address - Phone:401-241-7752
Mailing Address - Fax:
Practice Address - Street 1:171 DELANCEY ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-3411
Practice Address - Country:US
Practice Address - Phone:929-455-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD09484207VE0102X
NY295513207VM0101X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001357252Medicaid
CT001357252Medicaid
G54998Medicare UPIN