Mr Maciej Modzelewski, MS CCC-SLP | |
415 N 5th St, Harrison, NJ 07029-1201 | |
(973) 482-6960 | |
Not Available |
Full Name | Mr Maciej Modzelewski |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 415 N 5th St, Harrison, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710317854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 41YS00696800 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Mr Maciej Modzelewski, MS CCC-SLP 415 N 5th St, Harrison, NJ 07029-1201 Ph: () - | Mr Maciej Modzelewski, MS CCC-SLP 415 N 5th St, Harrison, NJ 07029-1201 Ph: (973) 482-6960 |
Ayesha Ansari, M. ASLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 235 Harrison Ave, Harrison, NJ 07029 Phone: 323-474-9242 | |
Whitney Thomas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 Somerset St Apt 369, Harrison, NJ 07029 Phone: 614-517-7316 |