MARK PAWLOSKI


Address: 453 New Brunswick Ave, Fords, NJ 08863-2134
Phone: 7327388543

MARK PAWLOSKI (NPI# 1629545983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629545983
Entity Type Individual
Full Name MARK PAWLOSKI
Practice Address 453 New Brunswick Ave
Fords
NJ 08863-2134
Practice Telephone 7327388543
Mailing Telephone 7327388543
Enumeration Date 2018-10-25
Last Update Date 2018-10-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
D-1604 NJ Eye and Vision Services Providers

Office Location

Street Address 453 NEW BRUNSWICK AVE
City FORDS
State NJ
Zip Code 08863-2134

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NPI Name Taxonomy Address Enumeration
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1669507810 Quick Chek Corporation Pharmacy 6 Egan Ave, Fords, NJ 08863 2007-02-21
1609941764 Shahid Latif Internal Medicine 565 New Brunswick Ave, Fords, NJ 08863 2006-11-22
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City FORDS
Zip Code 08863

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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