MEDICARE: DR. VICTOR A WOWK MD

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	207X00000X	Orthopaedic Surgery Physician	D0032893	MD
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	D0032893	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528002383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR A WOWK MD

Provider Business Mailing Address
First Line	:	1400 FOREST GLEN RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1482
Country	:	US
Telephone Number	:	301-589-3324
Fax Number	:	301-681-7575

Provider Business Practice Location Address
First Line	:	1400 FOREST GLEN RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1482
Country	:	US
Telephone Number	:	301-589-3324
Fax Number	:	301-681-7575

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/11/2020

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