Organization
JACEK GRZYBOWSKI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACEK GRZYBOWSKI MD (OWNER)
(908) 587-9611
Entity
Organization
Contact information
Practice address
812 N WOOD AVE, SUITE 201, LINDEN, NJ 07036-4058
(908) 587-9611
(908) 587-9622
Mailing address
812 N WOOD AVE, SUITE 201, LINDEN, NJ 07036-4058
(908) 587-9611
(908) 587-9622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059862
—
NJ
Enumeration date
03/07/2007
Last updated
11/16/2007
Update your record
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