Individual
DR. JACQUELINE HOLLYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 FLETCHER AVE, FORT LEE, NJ 07024-5005
(201) 461-6200
(201) 461-7204
Mailing address
2200 FLETCHER AVE, FORT LEE, NJ 07024-5005
(201) 461-6200
(201) 461-7204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07427900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2620901
—
NJ
Enumeration date
06/24/2005
Last updated
06/25/2010
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