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Individual
ELIZABETH MALISZEWSKI
Active
Individual
ELIZABETH MALISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA050810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277005
FEDERAL BLACK LUNG
PA
01
—
970024718
MEDICARE RAILROAD
PA
Enumeration date
02/01/2006
Last updated
11/03/2010
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