Dr. Justyna Teresa Wadolowski
General Practice Physician
Unit 5142
New Island City
, New Island 96368-5142
Dr. Justyna Teresa Wadolowski
General Practice Physician
Unit 5142
New Island City
, New Island 96368-5142
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Justyna Teresa Wadolowski
- Psc 80 Box 15162
- Apo, AP
- Zip : 96367-0054
- Phone :
Second Address
- Dr. Justyna Teresa Wadolowski
- Unit 5142
- Apo, AP
- Zip : 96368-5142
- Phone : (315) 630-4542
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | DOS | HI |
National Provider Identifier
| NPI | 1003259656 |
|---|---|
| Provider Name | Dr. Justyna Teresa Wadolowski |
| First Address | Apo, AP 96367-0054 |
| Second Address | Apo, AP 96368-5142 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2013 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.