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Individual

JOSEPH T. WROBLICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10150 SORRENTO VALLEY RD, SUITE 320, SAN DIEGO, CA 92121-1635
(858) 454-4235
(858) 454-4644
Mailing address
DEPT LA 21632, PASADENA, CA 91185-1632
(858) 564-1400
(858) 564-1500

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G85763
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G857630
BLUE SHIELD PIN
CA
05
OOG857630
CA
Enumeration date
05/16/2006
Last updated
03/24/2008
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