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General NPI Number Information
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NPI Number | 1760448609
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Entity Type | Organization
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Legal Business Name | TOMASZ GROCHOWALSKI MD PA
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2045 STATE ROUTE 35 SUITE 202
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-2069
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Country | US
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Telephone | 732-721-5511
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Fax | 732-721-2007
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Provider Business Mailing Address
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Address Line | 2045 STATE ROUTE 35 SUITE 202
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-2069
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Country | US
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Telephone | 732-721-5511
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Fax | 732-721-2007
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Authorized Official
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Title or Position | DIRECTOR
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Name | TOMASZ K GROCHOWALSKI
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Credential | M.D.
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Telephone | 732-721-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA065561
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License Number State | NJ
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