Individual
DR. JOHN G TRZESNIOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2716 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5916
(215) 426-3610
(215) 426-6835
Mailing address
2716 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-5916
(215) 426-3610
(215) 426-6835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003175L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006115620002
—
PA
01
—
0058140001
KEYSTONE HEALTH PLAN
PA
01
—
1002402
KEYSTONE MERCY
PA
01
—
11019
ELDER HEALTH
PA
01
—
173956
PENNSYLVANIA BLUE SHIELD
PA
01
—
28293
HEALTH PARTNERS
PA
01
—
4102250
AETNA
PA
Enumeration date
06/15/2006
Last updated
07/08/2007
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