MEDICARE: KRZYSZTOF TUNIA MD LIMITED LIABILITY COMPANY

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	207R00000X	Internal Medicine Physician	25MA06844300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063734044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRZYSZTOF TUNIA MD LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	54 PLAUDERVILLE AVE
Second Line	:	SUITE NUMBER 1
City	:	GARFIELD
State	:	NJ
Zip	:	07026-2252
Country	:	US
Telephone Number	:	973-253-2065
Fax Number	:	973-253-2067

Provider Business Practice Location Address
First Line	:	54 PLAUDERVILLE AVE
Second Line	:	SUITE NUMBER 1
City	:	GARFIELD
State	:	NJ
Zip	:	07026-2252
Country	:	US
Telephone Number	:	973-253-2065
Fax Number	:	973-253-2067

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	KRZYSZTOF TUNIA
Credential	:	M.D.
Telephone Number	:	973-253-2065

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	02/18/2010

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