Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAN B. WOLLACK, MD, PHD
ActiveJAN B. WOLLACK, MD, PHD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in NEPTUNE, New Jersey. NPI 1447345608 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · NEPTUNE, NJ
Registration Details
- NPI Number
- 1447345608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.907493152359 yrs)
- Last Updated
- Nov 20, 2019
- Licenses
-
25MA070475 (NJ)17288 (NH)
Practice Information
- Address
-
19 DAVIS AVENEPTUNE, NJ, 077534488Browse NJ providers · Browse ZIP 07753
- Phone
- 7327764551
- Fax
- 7327764392
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in NEPTUNE, NJ
| Name | Credential | NPI |
|---|---|---|
| DOROTHY MARY PIETRUCHA | MD | 1598751083 |
| RACHEL PENN | MD | 1982131439 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.