Individual
JERZY KOLACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7219
Mailing address
317 GEORGE ST, UNIVERSITY MEDICAL GROUP 3RD FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8282
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA71174
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7639201
—
NJ
Enumeration date
11/14/2006
Last updated
10/26/2009
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