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Individual

DR. AGNIESZKA MARIA WYDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
899 MOUNTAIN AVE, FL. 3, SPRINGFIELD, NJ 07081-3455
(973) 376-1701
Mailing address
207 SUNSHINE CT, PARLIN, NJ 08859-2402
(908) 268-7405

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03382700
NJ

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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