Healthcare Provider Details

I. General information

NPI: 1306900840
Provider Name (Legal Business Name): DAVID S. WOLKSTEIN, M.D. PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MORRIS AVE SUITE A9
UNION NJ
07083-5714
US

IV. Provider business mailing address

2333 MORRIS AVE SUITE A9
UNION NJ
07083-5714
US

V. Phone/Fax

Practice location:
  • Phone: 908-964-8550
  • Fax:
Mailing address:
  • Phone: 908-964-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberMA21063
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMA 21063
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID S WOLKSTEIN
Title or Position: PRES.
Credential: M.D.
Phone: 908-964-8550