Ezekowitz, Michael

Ezekowitz, Michael is an individual health care provider with primary practice located at 1999 Sproul Rd Ste 26, Broomall PA 19008-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ezekowitz, Michael can be contacted via phone (610) 353-6400.

Contact Information

Primary practice address
1999 Sproul Rd Ste 26 Broomall PA 19008-3508
Fax: (610) 525-2114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD070937L Pennsylvania

Profile Details

NPI number 1366413296
LBN Legal business name Ezekowitz, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 15th, 2015 - about 9 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 1366413296 NPPES
Pennsylvania MEDICAID 00180241420003

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