Provider Demographics
NPI:1205999208
Name:ZARCZYNSKI, EDWARD PIOTR (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:PIOTR
Last Name:ZARCZYNSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 ROUTE 94
Mailing Address - Street 2:HARDYSTON MERCANTILE MALL,
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419
Mailing Address - Country:US
Mailing Address - Phone:973-209-1200
Mailing Address - Fax:973-209-1211
Practice Address - Street 1:3394 ROUTE 94
Practice Address - Street 2:HARDYSTON MERCANTILE MALL,
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419
Practice Address - Country:US
Practice Address - Phone:973-209-1200
Practice Address - Fax:973-209-1211
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08089800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM38880Medicaid
NJ0147648Medicaid
MIB44244Medicare UPIN
NJ114032P65Medicare UPIN