Provider Demographics
NPI:1023587813
Name:WOLFE, TIMOTHY PATRICK (CSFA)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:PATRICK
Last Name:WOLFE
Suffix:
Gender:M
Credentials:CSFA
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Mailing Address - Street 1:2550 MOSSIDE BLVD
Mailing Address - Street 2:4TH FLOOR, SUITE 405
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-373-1600
Mailing Address - Fax:412-373-2406
Practice Address - Street 1:2550 MOSSIDE BLVD
Practice Address - Street 2:4TH FLOOR, SUITE 405
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-373-1600
Practice Address - Fax:412-373-2406
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist