Provider Demographics
NPI:1386217438
Name:DZIOPKO, MAGDALENA (LMT, LE)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:DZIOPKO
Suffix:
Gender:F
Credentials:LMT, LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082-0505
Mailing Address - Country:US
Mailing Address - Phone:862-324-0121
Mailing Address - Fax:
Practice Address - Street 1:72 RIVER RD
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-3442
Practice Address - Country:US
Practice Address - Phone:862-324-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist