Basic Information
Provider Information
NPI: 1043553399
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RYDZEWSKA
FirstName: MONIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 13579
Address2:  
City: READING
State: PA
PostalCode: 196123579
CountryCode: US
TelephoneNumber: 4846281324
FaxNumber:  
Practice Location
Address1: 1700 CENTER ST
Address2: CWEB 1, RM 1538
City: MOBILE
State: AL
PostalCode: 366043301
CountryCode: US
TelephoneNumber: 2514343915
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2013
LastUpdateDate: 11/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XMD468269PAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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