Provider Demographics
NPI:1255431102
Name:MOSZCZYNSKI, ZBIGNIEW (MD)
Entity type:Individual
Prefix:
First Name:ZBIGNIEW
Middle Name:
Last Name:MOSZCZYNSKI
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:PO BOX 4499
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-0499
Mailing Address - Country:US
Mailing Address - Phone:201-858-0188
Mailing Address - Fax:201-455-8705
Practice Address - Street 1:31 W 8TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-1201
Practice Address - Country:US
Practice Address - Phone:201-858-0188
Practice Address - Fax:201-455-8705
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66041208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
G57389Medicare UPIN