Most Relevant Information
Provider Data
| NPI Number: | 1003259656 |
| Provider Name: | JUSTYNA TERESA WADOLOWSKI D.O |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | DOS-1692 |
Most Important Dates
| Enumeration Date: | 04/14/2013 |
| Last Updated: | 09/17/2020 |
Provider Practice Location
UNIT 5142
APO
AP
963685142
Practice Location Phone/Fax
| Phone: | 3156304542 |
| Fax: |
Provider Mailing Location
PSC 80 BOX 15162
APO
AP
963670054
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Psychiatry EMR