Grzybowski, Jacek
Grzybowski, Jacek is an sole proprietor health care provider with primary practice located at 812 N Wood Ave Suite 201, Linden NJ 07036-4058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grzybowski, Jacek can be contacted via phone (908) 587-9611.Contact Information
Primary practice address
812 N Wood Ave Suite 201
Linden NJ 07036-4058
Phone: (908) 587-9611
Fax: (908) 587-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07813200 | New Jersey |
Profile Details
| NPI number | 1225038508 |
|---|---|
| LBN Legal business name | Grzybowski, Jacek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 16th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225038508 | NPPES |
| New Jersey | MEDICAID | 0059862 |
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