Individual
JESSICA LEIGH WOLKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
264 BOYDEN AVE, MAPLEWOOD, NJ 07040-3070
(973) 761-0764
Mailing address
264 BOYDEN AVE, MAPLEWOOD, NJ 07040-3070
(973) 761-0764
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00287300
NJ
Other
Enumeration date
07/18/2012
Last updated
05/12/2015
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