Individual
MACIEJ TYMOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, EMERGENCY DEPARTMENT, RICHMOND, VA 23298-5051
(804) 828-7738
(804) 828-4686
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101235666
VA
207P00000X
Emergency Medicine Physician
21345
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101235666
LICENSE
VA
Enumeration date
03/08/2006
Last updated
01/29/2008
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