Durisek, George Stephen

Durisek, George Stephen is an individual health care provider with primary practice located at 629D Lowther Rd , Lewisberry PA 17339-9527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Durisek, George Stephen can be contacted via phone (717) 932-5200.

Contact Information

Primary practice address
629D Lowther Rd Lewisberry PA 17339-9527
Phone: (717) 932-5200
Fax: (717) 932-3095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD014909E Pennsylvania

Profile Details

NPI number 1750377818
LBN Legal business name Durisek, George Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 17th, 2012 - about 12 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 1750377818 NPPES
Pennsylvania MEDICAID 000655100

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