Provider Demographics
NPI:1457303984
Name:WOLF, JOHN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:WOLF
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:1255 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6256
Practice Address - Country:US
Practice Address - Phone:610-740-5547
Practice Address - Fax:484-403-4027
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-08-15
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Provider Licenses
StateLicense IDTaxonomies
PAMD030180E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080080153OtherPALMETTO GBA MEDICARE
PA165461OtherHIGHMARK PA BLUE SHIELD
PA50040859OtherCAPITAL BLUE CROSS
PA165461KZJMedicare PIN
PAC32567Medicare UPIN
PA080080153OtherPALMETTO GBA MEDICARE