Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD468269 | PA |
NPI | 1043553399 |
---|---|
Provider Name | Monika Rydzewska |
First Address | Reading, PA 19612-3579 |
Second Address | Mobile, AL 36604-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 09/11/2021 |