Individual
TINAMARIE DZIENKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
641 US HIGHWAY 130, HAMILTON, NJ 08691-2101
(609) 568-9383
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00323100
NJ
Other
Enumeration date
11/22/2013
Last updated
03/01/2021
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