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Deactivated NPI 1043308885 Deactivated / Inactive NPI Male Practitioner

Dr. Eric R Wolf , MD

Dermatology • Groton, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eric Wolf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date April 19, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wolf, MD was a registered Dermatology practicing in Groton, CT. Throughout an active medical career spanning 17 years, Dr. Wolf provided care at the practice location at 495 GOLD STAR HWY until profile deactivation on 2023-04-19.

Practice Location & Contact Primary Location

Practice Address

495 Gold Star Hwy
Suite 108

Groton, CT 063406228

Telephone 8604499090
Fax 8604457246
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Groton, CT (261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CT 023620

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Shayla Michel , LMFT

Marriage & Family Therapist

NPI 1003482373

Licensed Marriage and Family Therapist

Dr. Steven Carlow , MD

Orthopaedic Surgery

NPI 1013935592

Doctor of Medicine (M.D.)

NPI 1104997923

Doctor of Medicine (M.D.)

NPI 1225109051

Doctor of Medicine (M.D.)

Frederick Berggren , PTA, ATC

Physical Therapy Assistant

NPI 1245350537

Physical Therapist Assistant, Certified Athletic Trainer

Dr. Catherine Reinhardt , PhD, LPC

Counselor - Professional

NPI 1306373162

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 19, 2023

Record deactivated on April 19, 2023

NPI Profile Active September 28, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2010

Registered at 495 GOLD STAR HWY, SUITE 108, GROTON, CT 063406228 (Tel: 8604499090)

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Updated Business Mailing Address September 28, 2010

Registered at 495 GOLD STAR HWY, SUITE 108, GROTON, CT 063406228 (Tel: 8604499090)

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Provider Name / Credentials Updated September 28, 2010

Recorded as ERIC WOLF, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2010

Dermatology (License #023620 in CT)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043308885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: September 28, 2010
Deactivation Date: April 19, 2023

Mailing Address

495 Gold Star Hwy, Suite 108

Groton, CT 063406228

Phone: 8604499090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.