Provider Demographics
NPI:1427153527
Name:ODORCZUK, MARZENA (MD)
Entity type:Individual
Prefix:DR
First Name:MARZENA
Middle Name:
Last Name:ODORCZUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2562
Mailing Address - Country:US
Mailing Address - Phone:973-595-8400
Mailing Address - Fax:973-595-8501
Practice Address - Street 1:426 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2562
Practice Address - Country:US
Practice Address - Phone:973-595-8400
Practice Address - Fax:973-595-8501
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA6967300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HOO145Medicare UPIN