NPI Index

DR. PHILLIP WACKYM, MD

Otolaryngology - Otology & Neurotology

Active Individual
NPI: 1720030315

Practice Address

210 SOMERSET ST FL 11
DEPARTMENT OF HEAD AND NECK SURGERY
New Brunswick, NJ 08901

Phone: (732) 235-5530

Specialties

Specialty Code Primary License
Otolaryngology - Facial Plastic Surgery 207YS0123X No 25MA09934900 (NJ)
Otolaryngology - Otology & Neurotology 207YX0901X Yes 25MA09934900 (NJ)

Frequently Asked Questions

NPI 1720030315 is the National Provider Identifier for DR. PHILLIP WACKYM, MD, a Otolaryngology - Otology & Neurotology provider located in New Brunswick, NJ. This NPI was enumerated on May 16, 2006.
DR. PHILLIP WACKYM, MD practices at 210 SOMERSET ST FL 11, DEPARTMENT OF HEAD AND NECK SURGERY, New Brunswick, NJ 08901.

Quick Facts

NPI
1720030315
Type
Individual
Enumerated
May 16, 2006
Last Updated
Jan 25, 2026

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