Womack, Jason Peter
Womack, Jason Peter is an individual health care provider with primary practice located at 317 George St 1St Floor, New Brunswick NJ 08901-2008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Womack, Jason Peter can be contacted via phone (732) 235-7828.Contact Information
Primary practice address
317 George St 1St Floor
New Brunswick NJ 08901-2008
Phone: (732) 235-7828
Fax: (732) 246-7317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA08310000 | New Jersey |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 25MA08310000 | New Jersey |
Profile Details
| NPI number | 1497875249 |
|---|---|
| LBN Legal business name | Womack, Jason Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Mar 17th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497875249 | NPPES |
| New Jersey | Other | P01070092 | RR MCR |
| New Jersey | MEDICAID | 0208086 | RR MCR |
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