Provider Demographics
NPI:1144270612
Name:WOLFSON, NIKOLAJ (MD)
Entity type:Individual
Prefix:DR
First Name:NIKOLAJ
Middle Name:
Last Name:WOLFSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2300 SUTTER ST STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3029
Mailing Address - Country:US
Mailing Address - Phone:415-221-4400
Mailing Address - Fax:415-798-2213
Practice Address - Street 1:2300 SUTTER ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3037
Practice Address - Country:US
Practice Address - Phone:415-221-4400
Practice Address - Fax:415-798-2213
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21346174400000X
CAC51436207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery