Provider Demographics
NPI:1174712350
Name:ZORAWSKA, MAGDALENA KAJA
Entity type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:KAJA
Last Name:ZORAWSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HASEMANN CT
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7318
Mailing Address - Country:US
Mailing Address - Phone:120-170-4766
Mailing Address - Fax:
Practice Address - Street 1:12 W ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-7225
Practice Address - Country:US
Practice Address - Phone:908-486-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02350200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist