Provider Demographics
NPI:1659517100
Name:VOLCJAK, EDWARD EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:EUGENE
Last Name:VOLCJAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12924 CLOPPER RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-4810
Mailing Address - Country:US
Mailing Address - Phone:301-797-8576
Mailing Address - Fax:
Practice Address - Street 1:12924 CLOPPER RD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-4810
Practice Address - Country:US
Practice Address - Phone:301-797-8576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0008436207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology