Active NPIIndividual providerSole proprietor

Genny I Wolf, DO

Psychiatry & Neurology, Child & Adolescent Psychiatry in Brockton, Massachusetts

NPI Number1659665909
Practice location
680 Centre St, Brockton, MA 02302-3308
Fax
—
Last updated
July 18, 2022

Genny I Wolf is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Brockton, MA. Genny I Wolf practices in Brockton, MA and has the professional credentials of DO. The NPI Number for Genny I Wolf is 1659665909 and holds a License No. 279324 (NY). The current practice location address for Genny I Wolf is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7228.

Provider Profile Details

NPI Number
1659665909
Provider Name
Genny I Wolf
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
680 Centre St, Brockton, MA 02302-3308
Phone Number
508-941-7228
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2011
Last Update Date
July 18, 2022
Certification Date
July 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre St
Brockton, MA 02302-3308
Zip
02302-3308
Phone Number
508-941-7228
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
345 Boston Post RD Ste 5
Sudbury, MA 01776-3044
City
Sudbury
State
MA
Zip
01776-3044
Phone Number
781-799-1635

License Information

License Number (1)
279324
License State (1)
NY
License Number (2)
258386
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Genny I Wolf, DO?

The NPI number of Genny I Wolf, DO is 1659665909. It was assigned on June 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Genny I Wolf, DO?

Genny I Wolf, DO is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NY under license number 279324.

Where does Genny I Wolf, DO practice?

The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7228 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659665909 directly on the NPPES registry website.

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