Basic Information
Provider Information
NPI: 1891807475
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FILIPOWICZ
FirstName: THOMAS
MiddleName: ALAN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5101 BLUE CHURCH RD
Address2:  
City: COOPERSBURG
State: PA
PostalCode: 180369522
CountryCode: US
TelephoneNumber: 6102824683
FaxNumber: 2155295290
Practice Location
Address1: 1021 PARK AVE
Address2: ST. LUKE'S QUAKERTOWN HOSPITAL
City: QUAKERTOWN
State: PA
PostalCode: 189511573
CountryCode: US
TelephoneNumber: 2155384561
FaxNumber: 2155295290
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD 028427 EPAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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