Individual
DR. KENNETH WLOCZEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
(908) 859-6700
(908) 859-6812
Mailing address
4647 TROXELL DR, WHITEHALL, PA 18052-1441
(610) 502-1288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB080271
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063274
—
NJ
Enumeration date
05/22/2006
Last updated
07/08/2007
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