Doctor Name: | MRS. PUJA WENTWORTH KAZMIERCZAK |
NPI Number: | 1194823757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | CR1559 |
Business Practice Address: | 148 Morrisville Square Way Morrisville, NC - 275605703 |
Business Phone Number: | 2076800963 |
Business Fax Number: | 9194630431 |
Mailing Address: | 8300 Brass Mill Ln Apt 107, RALEIGH |
State: | NC |
Postal Code: | 276178457 |
Phone Number: | 2076800963 |
Fax Number: | 9194630431 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CR1559 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |