Basic Information
| Provider Information | |||||||||
| NPI: | 1023103884 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SZAWLEWICZ | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | JUSTIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 TRENTON ROAD | ||||||||
| Address2: | |||||||||
| City: | BROWNS MILLS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098936611 | ||||||||
| FaxNumber: | 6098936038 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 TRENTON ROAD | ||||||||
| Address2: | |||||||||
| City: | BROWNS MILLS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098936611 | ||||||||
| FaxNumber: | 6098936038 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 01/23/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MA070998 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 25MA07099800 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 3082253 | 01 | CIGNA | OTHER | 8325901 | 05 | NJ | MEDICAID | 3772967 | 01 | AETNA US-HEALTHCARE | OTHER | 919655 | 01 | AMERIHEALTH PPO | OTHER | 010006211 01 | 01 | AMERICHOICE | OTHER | 0859769000 | 01 | AMERIHEALTH, HMO, KEYSTONE, IBC | OTHER | 60014440 | 01 | HORIZON NJ HEALTH | OTHER | 1791436 | 01 | UNITED HEALTH CARE | OTHER | P2199116 | 01 | OXFORD HEALTH PLAN | OTHER |