Basic Information
Provider Information
NPI: 1134568314
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZULEWSKI
FirstName: JOSEPH
MiddleName: RICHARD
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 190 W GERMANTOWN PIKE
Address2: STE 100
City: EAST NORRITON
State: PA
PostalCode: 194011385
CountryCode: US
TelephoneNumber: 6102728221
FaxNumber: 6102725655
Practice Location
Address1: 2701 DEKALB PIKE
Address2:  
City: NORRISTOWN
State: PA
PostalCode: 194011820
CountryCode: US
TelephoneNumber: 6102782000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2013
LastUpdateDate: 03/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOTO15009PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home