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NPI Code Detail

MEDICARE: DR. DIANA E ZAWADOWYCZ DMD

MEDICARE:  DR. DIANA E ZAWADOWYCZ  DMD
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
1122300000XDentist22DI01797300NJ
2122300000XDentistDS027703LPA

General Provider Information

NPI Number : 1639413214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA E ZAWADOWYCZ DMD
Provider Business Mailing Address
First Line : 1200 LAWRENCEVILLE RD
Second Line : SUITE 2
City : LAWRENCEVILLE
State : NJ
Zip : 08648-3551
Country : US
Telephone Number : 609-883-1770
Fax Number : 609-883-1777
Provider Business Practice Location Address
First Line : 1200 LAWRENCEVILLE RD
Second Line : SUITE 2
City : LAWRENCEVILLE
State : NJ
Zip : 08648-3551
Country : US
Telephone Number : 609-883-1770
Fax Number : 609-883-1777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2012
Last Update Date : 11/20/2012

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Directions to “ DR. DIANA E ZAWADOWYCZ DMD” Practice Location

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