National Provider Identifier Database

CHARLES A WASICEK, MD – NPI #1619049038
Rheumatology

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

CHARLES A WASICEK, MD
145 CLINTON STREET
WATERTOWN, NY13601
Phone: 315-782-5523
Fax: 315-782-0549
Website:
Specialty Taxonomy Code
* Rheumatology 207RR0500X

* Indicates primary specialty

NPI Profile & details for CHARLES A WASICEK

NPI Number 1619049038
Credentials MD
Entity Individual
Enumeration date 11/14/2006
Last updated 05/19/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 122206
  • NY Medicaid: 00875434MC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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