Provider Demographics
NPI:1245345198
Name:WOROCH & WOROCH MD
Entity type:Organization
Organization Name:WOROCH & WOROCH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SWIATOSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:WOROCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-858-1900
Mailing Address - Street 1:89 WEST 43RD STREET
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002
Mailing Address - Country:US
Mailing Address - Phone:201-858-1900
Mailing Address - Fax:201-858-8803
Practice Address - Street 1:89 WEST 43RD STREET
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002
Practice Address - Country:US
Practice Address - Phone:201-858-1900
Practice Address - Fax:201-858-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty