Provider Demographics
NPI:1225086911
Name:BADZELEWICZ, IRENA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:IRENA
Middle Name:
Last Name:BADZELEWICZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:IRENE
Other - Middle Name:B
Other - Last Name:HARTL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 HARWICH CT
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-3162
Mailing Address - Country:US
Mailing Address - Phone:732-388-7627
Mailing Address - Fax:732-388-4651
Practice Address - Street 1:1961 MORRIS AVE
Practice Address - Street 2:SUITE B-7
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3531
Practice Address - Country:US
Practice Address - Phone:908-810-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019533001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice