Niewiadomski, Slawomir Tadeusz

Niewiadomski, Slawomir Tadeusz is an individual health care provider with primary practice located at 7592 Metropolitan Dr Suite 405-407, San Diego CA 92108-4428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Niewiadomski, Slawomir Tadeusz can be contacted via phone (619) 297-4900.

Contact Information

Primary practice address
7592 Metropolitan Dr Suite 405-407 San Diego CA 92108-4428
Phone: (619) 297-4900
Fax: (619) 297-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X A50674 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A50674 California

Profile Details

NPI number 1205841665
LBN Legal business name Niewiadomski, Slawomir Tadeusz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 20th, 2008 - about 17 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 1205841665 NPPES
California MEDICAID 00A506740

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