1740577816 NPI number — DR. MARIE APOLONIA WOJCIK WOLANIN M.D.

Table of content: DR. MARIE APOLONIA WOJCIK WOLANIN M.D. (NPI 1740577816)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740577816 NPI number — DR. MARIE APOLONIA WOJCIK WOLANIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOLANIN
Provider First Name:
MARIE
Provider Middle Name:
APOLONIA WOJCIK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740577816
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8901 WISCONSIN AVE.
Provider Second Line Business Mailing Address:
NATIONAL NAVAL MEDICAL CENTER, DEPT. OF NEUROLOGY
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20889
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-295-4760
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8901 WISCONSIN AVE.
Provider Second Line Business Practice Location Address:
NATIONAL NAVAL MEDICAL CENTER, DEPT. OF NEUROLOGY
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-295-4760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  MD442298 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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