Individual
ALLY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2829
(551) 996-0524
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2829
(551) 996-0524
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA13096400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
04/21/2026
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