Individual
DR. CHARLES P WAJSZCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
199 GRANDVIEW RD, SC-137, SKILLMAN, NJ 08558-1311
(908) 874-1450
(908) 904-3862
Mailing address
199 GRANDVIEW RD, SC-137, SKILLMAN, NJ 08558-1311
(908) 874-1450
(908) 904-3864
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
25MA03943800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA03943800
MD
NJ
Enumeration date
06/30/2008
Last updated
06/30/2008
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