Healthcare Provider Details

I. General information

NPI: 1225859549
Provider Name (Legal Business Name): CAROLYN WOYCE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2024
Last Update Date: 10/19/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 9TH ST
CARLSTADT NJ
07072-1709
US

IV. Provider business mailing address

636 9TH ST
CARLSTADT NJ
07072-1709
US

V. Phone/Fax

Practice location:
  • Phone: 201-575-9949
  • Fax:
Mailing address:
  • Phone: 201-575-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26NJ15179500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: