Individual
JULIE NINJA POLISIAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
107 BERLIN RD, CHERRY HILL, NJ 08034-3526
(856) 429-1800
(856) 429-1081
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MB10454900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665631
—
NJ
Enumeration date
06/06/2011
Last updated
05/27/2025
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