Organization
ENDOCRINOLOGY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN KOWALYK M.D. (PRESIDENT)
(724) 832-3130
Entity
Organization
Contact information
Practice address
540 SOUTH ST, SUITE 306, GREENSBURG, PA 15601-2774
(724) 832-3130
(724) 832-7301
Mailing address
540 SOUTH ST, SUITE 306, GREENSBURG, PA 15601-2774
(724) 832-3130
(724) 832-7301
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007585760003
—
PA
01
—
DA5194
RAILROAD MEDICARE
PA
Enumeration date
09/17/2006
Last updated
01/08/2016
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