Provider Demographics
NPI:1821002619
Name:WOLFF, DONALD ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ROBERT
Last Name:WOLFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2021 YGNACIO VALLEY RD
Mailing Address - Street 2:SUITE C-102
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3391
Mailing Address - Country:US
Mailing Address - Phone:925-256-8464
Mailing Address - Fax:925-256-8320
Practice Address - Street 1:2021 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE C-102
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3391
Practice Address - Country:US
Practice Address - Phone:925-256-8464
Practice Address - Fax:925-256-8320
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78984207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH60622Medicare UPIN
CAZZZ26290ZMedicare ID - Type UnspecifiedDOCTOR IS INCORPORATED