Provider Demographics
NPI:1508033309
Name:WOLFF, TRACY ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:ANITA
Last Name:WOLFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TRACY
Other - Middle Name:ANITA
Other - Last Name:WOLFF MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:540 GAITHER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6649
Mailing Address - Country:US
Mailing Address - Phone:301-427-1616
Mailing Address - Fax:
Practice Address - Street 1:540 GAITHER RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6649
Practice Address - Country:US
Practice Address - Phone:301-427-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058414207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine