Individual
DR. DANIEL WOLLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
870 PALISADE AVE, SUITE 201, TEANECK, NJ 07666-3419
(201) 692-1661
(201) 692-9219
Mailing address
870 PALISADE AVE, SUITE 201, TEANECK, NJ 07666-3419
(201) 692-1661
(201) 692-9219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225444
—
NJ
Enumeration date
10/26/2006
Last updated
01/22/2013
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