Healthcare Provider Details

I. General information

NPI: 1992246920
Provider Name (Legal Business Name): LINDEN MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N WOOD AVE SUITE 302
LINDEN NJ
07036-4173
US

IV. Provider business mailing address

515 N WOOD AVE SUITE 302
LINDEN NJ
07036-4173
US

V. Phone/Fax

Practice location:
  • Phone: 908-925-3300
  • Fax: 973-925-3300
Mailing address:
  • Phone: 908-925-3300
  • Fax: 973-925-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA06757000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA06769000
License Number StateNJ

VIII. Authorized Official

Name: DR. EWA CZYZEWSKI
Title or Position: OWNER
Credential: M.D.
Phone: 908-925-3300