Individual
MR. CHARLES KACZMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 345-4000
(609) 441-8178
Mailing address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 345-4000
(609) 441-8178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00591100
NJ
363A00000X
Physician Assistant
Primary
PA9114472
FL
Other
Enumeration date
08/12/2019
Last updated
10/02/2025
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