NPI 1447459672 · live from the CMS NPI Registry
Eric R. Wolf, M.D., P.C.
Dermatology in Groton, CT. National Provider Identifier 1447459672, active.
NPI record
| NPI | 1447459672 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 495 Gold Star Hwy, Suite 108, Groton, CT 06340 |
| Practice phone | 860-449-9090 |
| Enumerated | July 17, 2007 |
| Last updated | July 17, 2007 |
| Authorized official | Eric Wolf, President |
| Other names | Eric R. Wolf, M.D., P.C. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 023620 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.