Provider Demographics
NPI:1902865918
Name:WOLFSON, ARTHUR FREDERICK (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FREDERICK
Last Name:WOLFSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 MCGUIRE PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1630
Mailing Address - Country:US
Mailing Address - Phone:757-599-5710
Mailing Address - Fax:757-591-0552
Practice Address - Street 1:754 MCGUIRE PL
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1630
Practice Address - Country:US
Practice Address - Phone:757-599-5710
Practice Address - Fax:757-591-0552
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000628213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9302387Medicaid
VA480915102Medicare ID - Type UnspecifiedRAILROAD MEDIACRE
VA480000104Medicare ID - Type Unspecified
VA9302387Medicaid