Organization
ROSEDALE PSYCHIATRY PA
Active
Other names
Zofia Bochacki M.D
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SPYTKOWSKI (OFFICE MANAGER)
(704) 992-1359
Entity
Organization
Contact information
Practice address
10225 HICKORYWOOD HILL AVE, HUNTERSVILLE, NC 28078-3307
(704) 992-1359
Mailing address
19208 HIDDEN COVE LN, CORNELIUS, NC 28031-7596
(704) 896-5579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2281196A
IND. MEDICARE PROVIDER NO
NC
Enumeration date
06/11/2006
Last updated
08/22/2020
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