Individual
JOHN PAWLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 406-0663
Mailing address
10740 PALM RIVER RD, STE 360, TAMPA, FL 33619-4578
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
064441
GA
207RH0000X
Hematology (Internal Medicine) Physician
MD431888
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME147761
FL
207RH0003X
Hematology & Oncology Physician
55891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019279400001
—
PA
01
—
119627
ALABAMA MEDICAID
AL
05
—
1840102000
—
WV
05
—
2756281
—
OH
05
—
304832075A
—
GA
01
—
52497585 001
BCBS/GA
GA
01
—
602-01627
BCBS/AL
AL
01
—
P00925246
RR MEDICARE
—
Enumeration date
10/25/2006
Last updated
11/24/2021
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