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NPI Code Detail

MEDICARE: BEATA RODZEN PA

MEDICARE: BEATA RODZEN PA
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
12080A0000XPediatric Adolescent Medicine Physician25MP00150200NJ

General Provider Information

NPI Number : 1326074915
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATA RODZEN PA
Provider Business Mailing Address
First Line : 42 LOCUST AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1300
Country : US
Telephone Number : 973-777-0090
Fax Number :
Provider Business Practice Location Address
First Line : 42 LOCUST AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1300
Country : US
Telephone Number : 973-777-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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Directions to “ BEATA RODZEN PA” Practice Location

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