Active NPIIndividual providerSole proprietor

Dr. Agnieszka M Wydra

Pharmacist in Springfield, New Jersey

NPI Number1407137185
Practice location
899 Mountain Ave, Fl. 3, Springfield, NJ 07081-3455
Fax
—
Last updated
September 7, 2011

Agnieszka Maria Wydra is a Pharmacist based in Springfield, NJ. Agnieszka Maria Wydra practices in Springfield, NJ. The NPI Number for Agnieszka Maria Wydra is 1407137185 and holds a License No. 28ri03382700 (NJ). The current practice location address for Agnieszka Maria Wydra is 899 Mountain Ave, Fl. 3, Springfield, NJ 07081-3455 and can be reached out via phone at 973-376-1701.

Provider Profile Details

NPI Number
1407137185
Provider Name
Agnieszka Maria Wydra
Provider Entity Type
Individual
Gender
Female
Address
899 Mountain Ave, Fl. 3, Springfield, NJ 07081-3455
Phone Number
973-376-1701
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2011
Last Update Date
September 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
899 Mountain Ave
Fl. 3
Springfield, NJ 07081-3455
Zip
07081-3455
Phone Number
973-376-1701
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
207 Sunshine CT
Parlin, NJ 08859-2402
City
Parlin
State
NJ
Zip
08859-2402
Phone Number
908-268-7405

License Information

License Number
28ri03382700
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Agnieszka M Wydra?

The NPI number of Dr. Agnieszka M Wydra is 1407137185. It was assigned on September 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Agnieszka M Wydra?

Dr. Agnieszka M Wydra is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri03382700.

Where does Dr. Agnieszka M Wydra practice?

The practice location is 899 Mountain Ave, Fl. 3, Springfield, NJ 07081-3455. The office can be reached at 973-376-1701 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407137185 directly on the NPPES registry website.

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