SearchNew Jersey235Z00000X

Maciej Modzelewski, M.S. CCC-SLP

NPI 1710317854 · on the registry since 2013 · sole proprietor

Practice

Address
415 N 5th St
Harrison, NJ 07029
Phone
(973) 482-6960

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey