Individual
AYANNA R. WOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 UNION AVE, BRIDGEWATER, NJ 08807-3063
(908) 722-2900
(908) 722-1856
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07638700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024902
—
NJ
01
—
25MA07638700
NJ STATE MED LICENSE
NJ
01
—
D08411700
CONTROLLED DANGEROUS SUB
NJ
Enumeration date
06/05/2006
Last updated
03/07/2023
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