Provider Demographics
NPI:1730340639
Name:WOJCIECHOWSKI, BRIAN S (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:S
Last Name:WOJCIECHOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2035
Mailing Address - Country:US
Mailing Address - Phone:610-521-2010
Mailing Address - Fax:610-521-3753
Practice Address - Street 1:33 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2035
Practice Address - Country:US
Practice Address - Phone:610-521-2010
Practice Address - Fax:610-521-3753
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA432654207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology