Individual
DR. JACEK A WOJTCZAK
Active
Individual
DR. JACEK A WOJTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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