Blondek, Stanley W

Blondek, Stanley W is an individual health care provider with primary practice located at 247 Main Street , Dickson City PA 18519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blondek, Stanley W can be contacted via phone (570) 382-3665.

Contact Information

Primary practice address
247 Main Street Dickson City PA 18519
Fax: (570) 483-4137
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD040153L Pennsylvania

Profile Details

NPI number 1598732547
LBN Legal business name Blondek, Stanley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598732547 NPPES
Pennsylvania MEDICAID 001179637

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