Basic Information
| Provider Information | |||||||||
| NPI: | 1205946779 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GLENN B. WOLFFE,M.D. P.C. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | ISLAND MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 6295 TEAL LN | ||||||||
| Address2: | |||||||||
| City: | CHINCOTEAGUE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233362207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573362200 | ||||||||
| FaxNumber: | 7573362211 | ||||||||
| Practice Location | |||||||||
| Address1: | 6295 TEAL LN | ||||||||
| Address2: | |||||||||
| City: | CHINCOTEAGUE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233362207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573362200 | ||||||||
| FaxNumber: | 7573362211 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | WOLFFE | ||||||||
| AuthorizedOfficialFirstName: | GLENN | ||||||||
| AuthorizedOfficialMiddleName: | B. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7573362200 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | 0101039931 | VA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.