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General NPI Number Information
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NPI Number | 1568528784
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Entity Type | Individual
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Provider Name | TOMASZ WOJCZYK CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PKWY
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City | SAN JOSE
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State | CA
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Zip | 95119-1103
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Country | US
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Telephone | 408-820-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 295 HUBBARD GULCH RD
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City | BEN LOMOND
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State | CA
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Zip | 95005-9221
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Country | US
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Telephone | 408-564-1648
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3227
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License Number State | CA
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