Stankiewicz, Russell J

Stankiewicz, Russell J is an individual health care provider with primary practice located at 3 Hospital Dr Ste 312 , Lewisburg PA 17837-8909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stankiewicz, Russell J can be contacted via phone (570) 523-8700.

Contact Information

Primary practice address
3 Hospital Dr Ste 312 Lewisburg PA 17837-8909
Fax: (570) 523-8705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD040749E Pennsylvania

Profile Details

NPI number 1891773875
LBN Legal business name Stankiewicz, Russell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jun 10th, 2022 - about 3 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 1891773875 NPPES
Pennsylvania MEDICAID 0011194140001

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