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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
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