Provider Demographics
NPI:1679750277
Name:WOLF, AHARON A (MD)
Entity type:Individual
Prefix:DR
First Name:AHARON
Middle Name:A
Last Name:WOLF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 SHANNON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8913 NW 45TH CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1754
Practice Address - Country:US
Practice Address - Phone:954-906-4070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD22380207R00000X
NY262821-1207R00000X
NMTM2018-0584207R00000X
MDD0085679207R00000X
PAMD465741207R00000X
MN2362207R00000X
MO2018025325207R00000X
WI70148207R00000X
SCMD61163207R00000X
AZ56411207R00000X
OH57-013663207R00000X
CODR.0060852207R00000X
DCMD046782207R00000X
TNMD0000057829207R00000X
GA81876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine