Wasik, Mariusz A
Wasik, Mariusz A is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Wasik, Mariusz A can be contacted via phone (215) 728-3675.Contact Information
Primary practice address
333 Cottman Ave
Philadelphia PA 19111
Phone: (215) 728-3675
Fax: (215) 728-2848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD049675L | Pennsylvania |
Profile Details
| NPI number | 1023053576 |
|---|---|
| LBN Legal business name | Wasik, Mariusz A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 27th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023053576 | NPPES |
| Pennsylvania | MEDICAID | 0015674870001 |
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