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NPI Code Detail

MEDICARE: CHRISTINE REJDUKOWSKI DO

MEDICARE:   CHRISTINE  REJDUKOWSKI  DO
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
1208000000XPediatrics Physician036102683IL

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 : 1487622411
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE REJDUKOWSKI DO
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-974-6721
Provider Business Practice Location Address
First Line : 1705 W MAIN ST
Second Line :
City : MESA
State : AZ
Zip : 85201-6920
Country : US
Telephone Number : 877-809-5092
Fax Number : 480-718-9477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 03/04/2021

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Directions to “ CHRISTINE REJDUKOWSKI DO” Practice Location

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