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Individual

DR. JANUSZ S KORNICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1130 RARITAN RD, CRANFORD, NJ 07016-3328
(908) 276-6644
(908) 276-3862
Mailing address
1130 RARITAN RD, CRANFORD, NJ 07016-3328
(908) 276-6644
(908) 276-3862

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04135100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6209203
NJ
Enumeration date
07/05/2005
Last updated
10/23/2007
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