Provider Demographics
NPI:1821037805
Name:SZCZECH, KAZIMIERZ MICHAEL (MD)
Entity Type:Individual
Prefix:MR
First Name:KAZIMIERZ
Middle Name:MICHAEL
Last Name:SZCZECH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 CLIFTON AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3517
Mailing Address - Country:US
Mailing Address - Phone:973-473-4400
Mailing Address - Fax:973-473-6822
Practice Address - Street 1:1033 CLIFTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3517
Practice Address - Country:US
Practice Address - Phone:973-473-4400
Practice Address - Fax:973-473-6822
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05999500207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7546301Medicaid
NJ7546301Medicaid
NJ806097Medicare ID - Type Unspecified