IndividualActive
Jan Wollack, MD, PHD
NPI 1447345608 · Neurology with Special Qualifications in Child Neurology Physician · Neptune, NJ
Provider details
- NPI number
- 1447345608
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA070475 (NJ)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 25MA070475 (NJ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
19 Davis Ave
Neptune, NJ 07753-4488
Phone: (732) 776-4551
Fax: (732) 776-4392
Approximate (ZIP-level) locationGet directions
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.