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Organization

DRS. C. ROZDEBA & M. LUPINSKA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHA H ROZDEBA MD (OWNER)
(973) 777-0090
Entity
Organization

Contact information

Practice address
42 LOCUST AVE, WALLINGTON, NJ 07057-1300
(973) 777-0090
(973) 777-9424
Mailing address
42 LOCUST AVE, WALLINGTON, NJ 07057-1300
(973) 777-0090
(973) 777-9424

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA04189100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013963032
NPI
NJ
01
1396791778
NPI
NJ
Enumeration date
06/24/2006
Last updated
06/13/2008
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