# OREST PADKOWSKY, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801063631
- **Authorized official:** DR. OREST PADKOWSKY M.D. (OWNER)
- **Authorized official phone:** (201) 823-8555

## Contact information

- **Practice address:** 989 BROADWAY, BAYONNE, NJ 07002-4040
- **Practice address phone:** (201) 823-8555
- **Practice address fax:** (201) 823-2979
- **Mailing address:** 989 BROADWAY, BAYONNE, NJ 07002-4040
- **Mailing address phone:** (201) 823-8555
- **Mailing address fax:** (201) 823-2979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA42151 | NJ | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 05/12/2008