1265628093 NPI number — JENNIFER ASHLEY WOLFF DEAN M.D.

Table of content: JENNIFER ASHLEY WOLFF DEAN M.D. (NPI 1265628093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265628093 NPI number — JENNIFER ASHLEY WOLFF DEAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEAN
Provider First Name:
JENNIFER
Provider Middle Name:
ASHLEY WOLFF
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265628093
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4374 NEW TOWN AVE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
WILLIAMSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23188-2865
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-259-1900
Provider Business Mailing Address Fax Number:
757-259-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4374 NEW TOWN AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WILLIAMSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23188-2865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-259-1900
Provider Business Practice Location Address Fax Number:
757-259-1901
Provider Enumeration Date:
09/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0101242864 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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