Basic Information
Provider Information
NPI: 1164865069
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZYMANSKI
FirstName: ALAN
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5450 FRANTZ RD STE 360
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164141
CountryCode: US
TelephoneNumber: 6145446155
FaxNumber: 6145446370
Practice Location
Address1: 3525 OLENTANGY RIVER RD STE 5380
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432143937
CountryCode: US
TelephoneNumber: 6145664710
FaxNumber: 6145666636
Other Information
ProviderEnumerationDate: 04/10/2013
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X35.130601OHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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