Individual
DR. CHAD WOTKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2764
(207) 373-6690
(603) 373-6695
Mailing address
81 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2764
(207) 373-6690
(603) 742-3530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14482
NH
208600000X
Surgery Physician
224790
MA
208800000X
Urology Physician
14482
NH
208800000X
Urology Physician
Primary
MD19913
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111021
—
MA
05
—
30209883
—
NH
Enumeration date
03/10/2006
Last updated
05/02/2022
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