Organization
BARRY PRYSTOWSKY, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY PRYSTOWSKY M.D. (OWNER)
(973) 235-0101
Entity
Organization
Contact information
Practice address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 235-0101
Mailing address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 235-0101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA042255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061902
—
NJ
Enumeration date
03/25/2009
Last updated
05/14/2009
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