Provider Demographics
NPI:1811547615
Name:MALGORZATA KOMZA MD LLC
Entity Type:Organization
Organization Name:MALGORZATA KOMZA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MALGORZATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-691-7110
Mailing Address - Street 1:17 SYLVAN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2069
Mailing Address - Country:US
Mailing Address - Phone:201-691-7110
Mailing Address - Fax:
Practice Address - Street 1:17 SYLVAN ST STE 106
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2069
Practice Address - Country:US
Practice Address - Phone:201-691-7110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty