| Wolf Vascular Institute Pllc | |
|
2 Bala Plz Ste Pl33 Bala Cynwyd PA 19004-1505 | |
| (786) 303-7860 | |
| Not Available |
| Full Name | Wolf Vascular Institute Pllc |
|---|---|
| Speciality | Radiology |
| Location | 2 Bala Plz Ste Pl33, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Joel Wolf (CEO) |
| Authorized Official Contact | 7863037860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Vascular Institute Pllc 127 Maple Ave Bala Cynwyd PA 19004-3016 Ph: (786) 303-7860 | Wolf Vascular Institute Pllc 2 Bala Plz Ste Pl33 Bala Cynwyd PA 19004-1505 Ph: (786) 303-7860 |
| NPI Number | 1639852700 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 2567811276 |
|---|---|
| Medicare Enrollment ID | O20231206003075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639852700 | NPI | - | NPPES |
| Provider Name | Joel Andrew Wolf |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306233911 PECOS PAC ID: 3072916204 Enrollment ID: I20220513000106 |
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