Provider Demographics
NPI:1508474776
Name:BLASZCZYK, MARIA BEATA (MBCHB (MD EQUIVALENT)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:BEATA
Last Name:BLASZCZYK
Suffix:
Gender:F
Credentials:MBCHB (MD EQUIVALENT
Other - Prefix:DR
Other - First Name:MARYJKA
Other - Middle Name:BEATA
Other - Last Name:BLASZCZYK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:461 CHERRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7916
Mailing Address - Country:US
Mailing Address - Phone:512-487-9295
Mailing Address - Fax:
Practice Address - Street 1:125 PATERSON ST # 212
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:512-487-9295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program