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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUZANNE DORA WOLLER

Active

SUZANNE DORA WOLLER is a Surgical Physician Assistant healthcare provider located in TEANECK, New Jersey. NPI 1700577418 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TEANECK, NJ

Registration Details

NPI Number
1700577418
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2023 (3.2311632435153 yrs)
Last Updated
Jan 26, 2026
License
25MP00833100 (NJ)

Practice Information

Address
111 GALWAY PL STE 300
TEANECK, NJ, 076663640
Browse NJ providers · Browse ZIP 07666
Phone
2018339500
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant
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.