Individual
MICHAEL VOLL V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPN
Contact information
Practice address
700 AIRPORT RD, PREFERRED BEHAVIORAL HEALTH OF NJ, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Mailing address
604 OCEAN GATE AVE, PO BOX 1126, OCEAN GATE, NJ 08037
(732) 269-1827
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
06/13/2007
Last updated
07/09/2007
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