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NPI Code Detail

MEDICARE: DR. MAREK K DZIARMAGA DDS

MEDICARE:  DR. MAREK K DZIARMAGA  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDI020495NJ

General Provider Information

NPI Number : 1063664704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAREK K DZIARMAGA DDS
Provider Business Mailing Address
First Line : 54 PLAUDERVILLE AVE
Second Line :
City : GARFIELD
State : NJ
Zip : 07026-2252
Country : US
Telephone Number : 973-253-0600
Fax Number : 973-253-2530
Provider Business Practice Location Address
First Line : 54 PLAUDERVILLE AVE
Second Line :
City : GARFIELD
State : NJ
Zip : 07026-2252
Country : US
Telephone Number : 973-253-0600
Fax Number : 973-253-2530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 10/14/2008

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