Individual provider · Type 1 NPI
Suzanne Dora Woller
Surgical Physician Assistant · Jersey City, NJ
NPI number
1700577418
Active
Practice location
335 Grand Street
Jersey City, NJ 07302
Mailing address
355 Grand St
Jersey City, NJ 07302-4321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00833100 (NJ) |
Surgical Physician Assistant: Definition to come...
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- Ian James Charles Schmidt, PA-CSurgical Physician Assistant Jersey City, NJ NPI 1679318281
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- Jacqueline Kocot, P.A.Surgical Physician Assistant Jersey City, NJ NPI 1972954543
About NPI 1700577418
Suzanne Dora Woller's National Provider Identifier is 1700577418, issued on May 15, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jersey City, NJ. The record was last updated on Jun 5, 2026.