MEDICARE: CHARLENE LOUISE VOJNYK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	26NJ00857400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26NJ00857400	OTHER	NJ	NJ MEDICAL LICENSE

General Provider Information

NPI Number	:	1104300086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE LOUISE VOJNYK

Provider Business Mailing Address
First Line	:	2477 COUNTY RD 516
Second Line	:	STE 103
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-4603
Country	:	US
Telephone Number	:	732-952-8222
Fax Number	:	732-952-8221

Provider Business Practice Location Address
First Line	:	546 SAINT GEORGES AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-2542
Country	:	US
Telephone Number	:	732-381-3642
Fax Number	:	732-396-4463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	12/19/2021

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Directions to “ CHARLENE LOUISE VOJNYK ” Practice Location

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