Marie C Wolfgang MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0003884 Issued in DE

Legal business name

MARIE C WOLFGANG MD

Practice address

1 Cedar Ave
Seaford, DE 19973-3300

Phone

(302) 629-2366

Fax

(302) 629-6570

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie C Wolfgang, MD

Title

Physician/Owner

Phone

(302) 629-2366

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1073546180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CEDAR AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733300",
            "telephone_number": "302-629-2366",
            "fax_number": "302-629-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733300",
            "telephone_number": "302-629-2366",
            "fax_number": "302-629-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE C WOLFGANG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "WOLFGANG",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-629-2366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0003884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "553029",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000814002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raju Maharjan, M.D.
• Danielle Elaina Maldonado, LPCMH
• Jeremiah Maltbie, OTR/L
• Lucinda Leenhouts Mancuso, RD,CDE,LDN
• Madeline Esther Marcus, MD
• Corinne Rose Marier, LPCMH, NCC
• Mark Antos, M.D.
• Mark John Granada MD PA
• Elisha Marks, PTA
• Emily Marie Marks, COTA/L

• Internal Medicine Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.