Individual
LUKASZ POLISIAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
141 ROUTE 70 E STE B, MARLTON, NJ 08053-1855
(856) 596-9057
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019425
MI
207RP1001X
Pulmonary Disease Physician
Primary
25MB10015800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0608033
—
NJ
Enumeration date
03/06/2011
Last updated
11/20/2024
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