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Contact Information

MARK WOLF, MD
1000 ASYLUM AVE
SUITE 4319
HARTFORD, CT06105-1770
 Phone: 860-714-4440
 Fax: 860-714-8012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARK WOLF · (Male)

NPI # 1023016185
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 12/20/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 030531
  • CT Medicaid 001305318
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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