Provider Demographics
NPI:1356762603
Name:WOJNAROWICZ, SHAWN
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:WOJNAROWICZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:ROCHDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01542-1320
Mailing Address - Country:US
Mailing Address - Phone:508-892-7245
Mailing Address - Fax:
Practice Address - Street 1:15 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:ROCHDALE
Practice Address - State:MA
Practice Address - Zip Code:01542-1320
Practice Address - Country:US
Practice Address - Phone:508-892-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program