Individual
CAROL ANN WOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
122 BROOKVIEW DR, WOODCLIFF LAKE, NJ 07677-8236
(201) 573-0735
(201) 573-0798
Mailing address
122 BROOKVIEW DR, WOODCLIFF LAKE, NJ 07677-8236
(201) 573-0735
(201) 573-0798
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
036092925
IL
2085R0202X
Diagnostic Radiology Physician
036092925
IL
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06660400
NJ
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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