Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4444 | AL |
NPI | 1043204860 |
---|---|
Provider Name | Dr. Rose Marie Wojcik |
First Address | Springfield, VA 22153-3009 |
Second Address | Joint Base Andrews, MD 20762-6601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 26/03/2013 |