Provider Demographics
NPI:1720205198
Name:HELEN A. WOLFSON, M.D.,LLC.
Entity Type:Organization
Organization Name:HELEN A. WOLFSON, M.D.,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERPRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOLFSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD,LLC
Authorized Official - Phone:610-444-8446
Mailing Address - Street 1:689 UNIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1787
Mailing Address - Country:US
Mailing Address - Phone:610-444-8446
Mailing Address - Fax:610-444-8447
Practice Address - Street 1:689 UNIONVILLE RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1787
Practice Address - Country:US
Practice Address - Phone:610-444-8446
Practice Address - Fax:610-444-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053143 L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF95385Medicare UPIN
PA026807Medicare ID - Type Unspecified