Provider Demographics
NPI:1316946346
Name:WOLFE, ERIC ALLEN (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALLEN
Last Name:WOLFE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 EASTON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1502
Mailing Address - Country:US
Mailing Address - Phone:610-838-6808
Mailing Address - Fax:610-838-5333
Practice Address - Street 1:725 EASTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1502
Practice Address - Country:US
Practice Address - Phone:610-838-6808
Practice Address - Fax:610-838-5333
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003773-L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013944740005Medicaid
PAU33412Medicare UPIN
PA0013944740005Medicaid