MR. ERIC R WOLF


Address: 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228
Phone: 8604499090

MR. ERIC R WOLF (NPI# 1043308885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043308885
Entity Type Individual
Full Name MR. ERIC R WOLF
Credential M.D.
Practice Address 495 Gold Star Hwy
Suite 108
Groton
CT 06340-6228
Practice Telephone 8604499090
Practice Fax Number 8604457246
Mailing Telephone 8604499090
Mailing Fax Number 8604457246
Enumeration Date 2006-10-10
Last Update Date 2010-09-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 023620 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 1236207 05

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1023106093 Eric D Wolf Physician Assistant 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2006-10-11
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Office Location

Street Address 495 GOLD STAR HWY
SUITE 108
City GROTON
State CT
Zip Code 06340-6228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225067895 Steven Y Wei Orthopaedic Surgery 495 Gold Star Hwy, Suite 300, Groton, CT 06340-6228 2006-07-03
1306373162 Catherine M Reinhardt Counselor 495 Gold Star Hwy, Groton, CT 06340-6228 2017-05-11
1861866139 Connecticut Institute of Behavioral Health Inc. Psychologist 495 Gold Star Hwy, Suite 220, Groton, CT 06340-6230 2015-11-24
1649596214 Jennifer Selden, Ph.d., LLC Psychologist 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 2010-04-08
1447459672 Eric R. Wolf, M.d., P.C. Dermatology 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228 2007-07-17
1033311915 Gold Star Pediatrics LLC Pediatrics 495 Gold Star Hwy, Ste 495, Groton, CT 06340-6228 2007-06-04
1134344476 Rebecca Tyler Davis Physical Therapist 495 Gold Star Hwy, Groton, CT 06340-6228 2007-04-13
1245350537 Frederick William Berggren Jr. Physical Therapy Assistant 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228 2007-03-30
1568508042 James A Wollschlager Dentist 495 Gold Star Hwy, Suite 312, Groton, CT 06340-6228 2007-01-30
1790845949 Mary A Glenn Pediatrics 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 2006-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912558610 Bruce Lancel Bernardo Lara Military Health Care Provider Fpo, Ae, 09587-2417, Groton, AE 06340 2019-09-24
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1265906911 Homelife Companions and Homemakers, LLC Adult Companion 1 Fort Hill Road, Suite 3, Groton, CT 06340 2019-01-16
1144735457 Kristina Marie Carta Behavior Technician 220 Rt 12, Suite 205, Groton, CT 06340 2017-12-08
1538674262 Tercel Dental Pllc Dentist 643 Gold Star Hwy., Groton, CT 06340 2017-12-04
1306361662 Stonington Behavioral Health Inc Psychologist 618 Poquonnock Rd, Groton, CT 06340 2017-08-08
1104347806 Renae Reynolds Optometrist 489 Gold Star Hwy Ste 100, Groton, CT 06340 2017-07-03
1053831552 Susan A Bradbury Physical Therapist 455 Eastern Point Rd, Groton, CT 06340 2017-06-26
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265868558 Integrated Dermatology of Groton LLC Dermatology 481 Gold Star Hwy Ste 201, Groton, CT 06340-6702 2013-09-19
1447459672 Eric R. Wolf, M.d., P.C. Dermatology 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228 2007-07-17
1811950074 Robert B. Ecker Dermatology 491 Gold Star Hwy, Suite 310, Groton, CT 06340 2006-04-10
1215908991 Diane Meg Davidson Dermatology 491 Gold Star Hwy, Suite 310, Groton, CT 06340 2006-01-30

Providers in the same taxonomy and state

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1477175966 Young Skin Dermatology 1111 Summer St, Stamford, CT 06905-5508 2020-05-07
1922633213 The Dermatology Center of Connecticut, LLC Dermatology 60 Church St Unit 4b, Wallingford, CT 06492-2340 2020-03-06
1063055853 Integrated Dermatology of Vernon, Pllc Dermatology 357 Hartford Tpke Fl 2, Vernon, CT 06066-4838 2019-10-24
1023663424 Dermatology Solutions, LLC Dermatology 35 E Main St Ste 118, Avon, CT 06001-3845 2019-08-03
1407374481 Center for Skin Surgery & Dermatology, Pllc Dermatology 2928 Main St Ste 100, Glastonbury, CT 06033-1007 2017-08-30
1962933572 Daniel Mark Klufas Dermatology 64 Tuckahoe Rd, Easton, CT 06612-2054 2017-03-24
1912446782 Associates In Medical & Cosmetic Dermatology, PC Dermatology 9 Washington Avenue, Hamden, CT 06518 2017-02-14
1457728883 Integrated Dermatology of Clinton,llc Dermatology 8 E Main St Ste 101, Clinton, CT 06413-2058 2015-09-02
1760873210 Nicholas V Perricone Dermatology 639 Research Pkwy, Meriden, CT 06450-7154 2015-02-05
1497160535 Dean David George Dermatology 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 2014-06-27
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Competitor

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City GROTON
Zip Code 06340

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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