Jagoda Ewa Bronstein
Adolescent Medicine
57 Willowbrook Blvd Suite 421
Wayne
, New Jersey 07470-7045
Jagoda Ewa Bronstein
Adolescent Medicine
57 Willowbrook Blvd Suite 421
Wayne
, New Jersey 07470-7045
(973) 754-4044
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jagoda Ewa Bronstein
- 57 Willowbrook Blvd Suite 421
- Wayne, NJ
- Zip : 07470-7045
- Fax : (973) 754-4044
- Phone : (973) 754-4025
Second Address
- Jagoda Ewa Bronstein
- 57 Willowbrook Blvd Suite 421
- Wayne, NJ
- Zip : 07470-7045
- Fax : (973) 754-4044
- Phone : (973) 754-4025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 25MA06854800 | NJ |
National Provider Identifier
| NPI | 1205884574 |
|---|---|
| Provider Name | Jagoda Ewa Bronstein |
| First Address | Wayne, NJ 07470-7045 |
| Second Address | Wayne, NJ 07470-7045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 12/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G61802 | (02) |
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.