Pyz, Tadeusz

Pyz, Tadeusz is an sole proprietor health care provider with primary practice located at 379 Main Ave Suite 3, Wallington NJ 07057. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pyz, Tadeusz can be contacted via phone (973) 779-2277.

Contact Information

Primary practice address
379 Main Ave Suite 3 Wallington NJ 07057
Phone: (973) 779-2277
Fax: (973) 340-2561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MA2504456200 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA04456200 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 177076-1 New York

Profile Details

NPI number 1518957109
LBN Legal business name Pyz, Tadeusz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Apr 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518957109 NPPES
New Jersey MEDICAID 7074301

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