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Organization
MWP MEDICAL CLINIC
Active
Organization
MWP MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK PIATKOWSKI-NAZARRO PT (CEO)
(626) 437-3986
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD, SUITE 105, NORTH HOLLYWOOD, CA 91606-3423
(626) 437-3986
Mailing address
11755 VICTORY BLVD, SUITE 105, NORTH HOLLYWOOD, CA 91606-3423
(626) 437-3986
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A30385
CA
Other
Enumeration date
09/30/2009
Last updated
10/22/2009
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