Organization
NORTH WAYNE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMASZ ADAM GRUCZYNSKI M.D. (OWNER)
(973) 942-7800
Entity
Organization
Contact information
Practice address
508 HAMBURG TPKE STE 106, WAYNE, NJ 07470-8482
(973) 942-7800
Mailing address
508 HAMBURG TPKE STE 106, WAYNE, NJ 07470-8482
(973) 942-7800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA059789
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9044400
—
NJ
Enumeration date
12/05/2006
Last updated
08/22/2020
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