Provider Demographics
NPI:1407922255
Name:OSTROWSKA, MAGDALENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:
Last Name:OSTROWSKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 YORKTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7813
Mailing Address - Country:US
Mailing Address - Phone:908-964-3594
Mailing Address - Fax:908-688-4099
Practice Address - Street 1:515 YORKTOWN ROAD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7813
Practice Address - Country:US
Practice Address - Phone:908-688-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ190201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice