Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA01090300 | NJ |
NPI | 1043434277 |
---|---|
Provider Name | Dr. Magdalena Karasewicz |
First Address | Clifton, NJ 07011-2024 |
Second Address | Newark, NJ 07107-3001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |