Individual
MALGORZATA S LUTWIN-KAWALEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08554500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08554500
STATE LICENSE
NJ
Enumeration date
08/07/2009
Last updated
09/15/2011
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