Individual
DR. ROBERT EMIL WOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
712 KNOLLWOOD DRIVE, MIDDLETOWN, NJ 07748-2850
(732) 671-5280
Mailing address
712 KNOLLWOOD DR, MIDDLETOWN, NJ 07748-2850
(732) 671-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
035010-1
NY
1223G0001X
General Practice Dentistry
Primary
22DI01141400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292855
—
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
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