Individual provider · Type 1 NPI
Jan B. Wollack, MD, PhD
Neurology with Special Qualifications in Child Neurology Physician · Neptune, NJ
Practice location
19 Davis Ave
Neptune, NJ 07753-4488
Fax (732) 776-4392
Mailing address
1 Medical Center Dr, Child Neurology
Lebanon, NH 03756-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician Primary | 2084N0402X | 25MA070475 (NJ) |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 17288 (NH) |
Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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About NPI 1447345608
Jan B. Wollack, MD, PhD's National Provider Identifier is 1447345608, issued on Oct 4, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Neptune, NJ. The record was last updated on Nov 20, 2019.