Individual
CHRISTOPHER J KACZMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD063400L
PA
208600000X
Surgery Physician
Primary
148896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01231790
—
NY
01
—
J400523903
MEDICARE
NY
Enumeration date
07/04/2006
Last updated
01/28/2019
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