Individual
DR. JASON PETER WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 GEORGE ST, 1ST FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-7828
(732) 246-7317
Mailing address
1 ROBERT WOOD JOHNSON PL, MEB 2ND FLOOR, NEW BRUNSWICK, NJ 08901-1928
(732) 235-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08310000
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA08310000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208086
—
NJ
01
—
P01070092
RR MCR
NJ
Enumeration date
03/29/2007
Last updated
03/17/2017
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