Basic Information
| Provider Information | |||||||||
| NPI: | 1639373087 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PATRICIA P GUZOWSKI MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1623 MORGANTOWN RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196079455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966364 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Practice Location | |||||||||
| Address1: | 1623 MORGANTOWN RD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196079455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966364 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 06/19/2014 | ||||||||
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| AuthorizedOfficialLastName: | GUZOWSKI | ||||||||
| AuthorizedOfficialFirstName: | PATRICIA | ||||||||
| AuthorizedOfficialMiddleName: | PHILLPIS | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6107966364 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD066560L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.