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NPI Code Detail

MEDICARE: MALGORZATA TERESA LUPINSKA MD

MEDICARE: MALGORZATA TERESA LUPINSKA 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
12080A0000XPediatric Adolescent Medicine Physician25MA07126300NJ

Other Identifiers

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

General Provider Information

NPI Number : 1396791778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALGORZATA TERESA LUPINSKA MD
Provider Business Mailing Address
First Line : 42 LOCUST AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1300
Country : US
Telephone Number : 973-777-0090
Fax Number : 973-777-9424
Provider Business Practice Location Address
First Line : 42 LOCUST AVE
Second Line :
City : WALLINGTON
State : NJ
Zip : 07057-1300
Country : US
Telephone Number : 973-777-0090
Fax Number : 973-777-9424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 06/07/2012

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Directions to “ MALGORZATA TERESA LUPINSKA MD” Practice Location

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