Provider Demographics
NPI:1023283272
Name:ZACHWIEJA, MARZENA BUCKA (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARZENA
Middle Name:BUCKA
Last Name:ZACHWIEJA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:540 BORDENTOWN AVE
Mailing Address - Street 2:SUITE 4820
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-1275
Mailing Address - Country:US
Mailing Address - Phone:732-553-0010
Mailing Address - Fax:732-553-0052
Practice Address - Street 1:540 BORDENTOWN AVE
Practice Address - Street 2:SUITE 4820 MARZENZ B ZACHWIEJA DDS LLC
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-1275
Practice Address - Country:US
Practice Address - Phone:732-553-0010
Practice Address - Fax:732-553-0052
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102173100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist