Gruczynski, Tomasz Adam

Gruczynski, Tomasz Adam is an individual health care provider with primary practice located at 508 Hamburg Tpke , Wayne NJ 07470-8482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gruczynski, Tomasz Adam can be contacted via phone (973) 942-7800.

Contact Information

Primary practice address
508 Hamburg Tpke Wayne NJ 07470-8482
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA059789 New Jersey

Profile Details

NPI number 1497707087
LBN Legal business name Gruczynski, Tomasz Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497707087 NPPES
New Jersey MEDICAID 9044400

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