Wotkowicz, Chad

Wotkowicz, Chad is an individual health care provider with primary practice located at 81 Medical Center Dr , Brunswick ME 04011-2764. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Wotkowicz, Chad can be contacted via phone (207) 373-6690.

Contact Information

Primary practice address
81 Medical Center Dr Brunswick ME 04011-2764
Phone: (207) 373-6690
Fax: (603) 373-6695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14482 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X 224790 Massachusetts
Allopathic & Osteopathic Physicians / Urology 208800000X 14482 New Hampshire
Allopathic & Osteopathic Physicians / Urology 208800000X MD19913 Maine

Profile Details

NPI number 1003884578
LBN Legal business name Wotkowicz, Chad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003884578 NPPES
New Hampshire MEDICAID 30209883
New Hampshire MEDICAID 2111021

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