Provider Demographics
NPI:1386136547
Name:CYMBALSKI, PIOTR
Entity type:Individual
Prefix:
First Name:PIOTR
Middle Name:
Last Name:CYMBALSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-9716
Mailing Address - Country:US
Mailing Address - Phone:609-880-2393
Mailing Address - Fax:609-880-2317
Practice Address - Street 1:2040 ROUTE 130
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-9716
Practice Address - Country:US
Practice Address - Phone:609-880-2393
Practice Address - Fax:609-880-2317
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038637L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist