Jason Peter Womack in New Brunswick - Sports Medicine
Jason Peter Womack - NPI 1497875249
Jason Peter Womack is a Sports Medicine in New Brunswick, New Jersey. Jason Peter Womack practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jason Peter Womack is 1497875249. The last update date is 2017-03-17.
Jason Peter Womack's current location address is 317 George St, New Brunswick, New Jersey. You can contact this provider via phone number 7322357828 and fax number 7322467317. The mailing address for Jason Peter Womack is 317 George St, New Brunswick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Peter Womack |
|---|---|
| Address | 317 George St, New Brunswick, New Jersey |
| Phone Number | 7322357828 |
| Fax Number | 7322467317 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497875249 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2017-03-17 |
Provider Mailing Address Detail
| Address | 317 George St |
|---|---|
| City | New Brunswick |
| State | New Jersey (NJ) |
| Post Code | 89012008 |
| Phone Number | 7322357828 |
| Fax Number | 7322467317 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 25MA08310000 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01070092 | NJ | RR MCR | |
| 208086 | NJ | -- |
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What is the unique 10-digit identification code issued to Jason Peter Womack by the Centers for Medicare & Medicaid Services?
The Jason Peter Womack has been assigned the NPI (National Provider Identifier) 1497875249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jason Peter Womack?
The Jason Peter Womack is physically situated at 317 George St, in the city of New Brunswick, state of NJ, with the postal code 89012008.
What is Jason Peter Womack's area of expertise and its corresponding taxonomy classification?
The Jason Peter Womack's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.
When was the Jason Peter Womack's 1497875249 issued?
The Jason Peter Womack's 1497875249 was issued on 2007-03-29.
As of what date was the information regarding Jason Peter Womack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Peter Womack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-17.