Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 1719281 | NY |
Y | 2080P0202X | Pediatric Cardiologist | MA079362 | NJ |
NPI | 1073582367 |
---|---|
Provider Name | Dr. David Solowiejczyk |
First Address | Paramus, NJ 07652-1449 |
Second Address | Paramus, NJ 07652-1449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14330244 | (05) | NY |
5999502 | (05) | NJ |
F67418 | (02) | NY |