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Individual

CHARLES S TOMASZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
21555
AZ
208800000X
Urology Physician
Primary
25MA07964400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0123391
NJ
05
134544
AZ
Enumeration date
03/22/2006
Last updated
11/09/2011
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