Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 44SW04736300 | NJ |
NPI | 1225459928 |
---|---|
Provider Name | Mrs. Ann Wolman |
First Address | Paterson, NJ 07501 |
Second Address | Paterson, NJ 07501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2013 |
Last Update Date | 23/12/2013 |