Provider Demographics
NPI:1467825422
Name:WOJCIK, EUGENE (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:WOJCIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5920
Mailing Address - Country:US
Mailing Address - Phone:732-918-8399
Mailing Address - Fax:732-922-6659
Practice Address - Street 1:805 4TH AVE
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-5920
Practice Address - Country:US
Practice Address - Phone:732-918-8399
Practice Address - Fax:732-922-6659
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI00713900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist