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General NPI Number Information
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NPI Number | 1619970852
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Entity Type | Individual
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Provider Name | ELZBIETA B KRYNSKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 525 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2442
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Country | US
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Telephone | 973-928-5360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 343
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-0343
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA 54478
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA05447800
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License Number State | NJ
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