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NPI Code Detail

MEDICARE: DR. JUSTIN JOSEPH KWIATEK PHARM.D.

MEDICARE:  DR. JUSTIN JOSEPH KWIATEK  PHARM.D.
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
1183500000XPharmacist28RI03513300NJ

General Provider Information

NPI Number : 1225387608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN JOSEPH KWIATEK PHARM.D.
Provider Business Mailing Address
First Line : 601 VIRGINIA DR
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-0000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 W VIRGINIA DR.
Second Line :
City : FORT WASHINGTON
State : NJ
Zip : 19034-0000
Country : US
Telephone Number : 609-897-2585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2012
Last Update Date : 11/06/2013

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Directions to “ DR. JUSTIN JOSEPH KWIATEK PHARM.D.” Practice Location

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