Individual
DR. JACEK A WOJTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
183472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040770801
UNIVERA
NY
01
—
000912474001
BS WNY/HEALTHNOW
NY
05
—
01260824
—
NY
01
—
183472-0
WORKER'S COMP
NY
01
—
2101250
GHI
NY
01
—
2222
BLUE SHIELD
NY
01
—
5052693
AETNA
NY
01
—
965779
MVP PROVIDER
NY
01
—
G0189393590
BLUE CHOICE GROUP
NY
01
—
MDA522
PREFERRED CARE
NY
Enumeration date
07/14/2006
Last updated
07/09/2007
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