Individual
MR. TADEUSZ PYZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
379 MAIN AVE, SUITE 3, WALLINGTON, NJ 07057
(973) 779-2277
(973) 340-2561
Mailing address
379 MAIN AVE, SUITE 3, WALLINGTON, NJ 07057
(973) 779-2277
(973) 340-2561
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MA2504456200
NJ
207Q00000X
Family Medicine Physician
177076-1
NY
207Q00000X
Family Medicine Physician
Primary
25MA04456200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7074301
—
NJ
Enumeration date
10/25/2005
Last updated
04/28/2010
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