MEDICARE: PIOTR CYMBALSKI

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
1	183500000X	Pharmacist	RP038637L	PA

General Provider Information

NPI Number	:	1386136547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIOTR CYMBALSKI

Provider Business Mailing Address
First Line	:	2040 ROUTE 130
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-9716
Country	:	US
Telephone Number	:	609-880-2393
Fax Number	:	609-880-2317

Provider Business Practice Location Address
First Line	:	2040 ROUTE 130
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-9716
Country	:	US
Telephone Number	:	609-880-2393
Fax Number	:	609-880-2317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2018
Last Update Date	:	06/04/2018

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Directions to “ PIOTR CYMBALSKI ” Practice Location

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