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Individual

ROZA B CIESZKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7525 MEMORIAL PARKWAY SW SUITE B, HUNTSVILLE, AL 35802-2260
(256) 529-9921
Mailing address
7525 MEMORIAL PARKWAY SW SUITE B, HUNTSVILLE, AL 35802-2260
(256) 529-9921

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22335
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069893682
TRICARE
AL
01
51008409
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/14/2006
Last updated
04/23/2019
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