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Individual

MR. MIECZYSLAW WITEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN,CRNP

Contact information

Practice address
21 E PALMER AVE, COLLINGSWOOD, NJ 08108-1220
(856) 858-1647
Mailing address
21 E PALMER AVE, COLLINGSWOOD, NJ 08108-1220
(856) 858-1647

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP006127B
PA

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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