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NPI Code Detail

MEDICARE: WOJCIECH SZULACZKOWSKI MD

MEDICARE: WOJCIECH SZULACZKOWSKI MD
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
12084P0800XPsychiatry Physician25MA07832900NJ

General Provider Information

NPI Number : 1316916315
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOJCIECH SZULACZKOWSKI MD
Provider Business Mailing Address
First Line : 1201 MOUNT KEMBLE AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6628
Country : US
Telephone Number : 908-340-4336
Fax Number :
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 908-340-4336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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