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Maria G. Pyontek, LLC

Internal Medicine in Wall, NJ. Organization (NPI-2).

NPI number1649522467
StatusActive
Last updated in NPPESOct 3, 2012

Details

NPI
1649522467
Entity type
Organization (NPI-2)
Legal business name
Maria G. Pyontek, LLC
Organization subpart
No
Enumeration date
Oct 3, 2012
Last updated
Oct 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MB06339900NJYes

Practice location

1725 Highway 35
Suite B
Wall, NJ 07719-3488

Phone 732-681-1063 · Fax 732-681-2922

Mailing address

1725 Highway 35
Suite B
Wall, NJ 07719-3488

Phone 732-681-1063 · Fax 732-681-2922

Authorized official

Maria G Pyontek
Sole Member
7326811063

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