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Individual

DR. DANIEL JOSEPH KAZMIERSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1789 N KEYSER AVE, SCRANTON, PA 18508-1250
(570) 969-1904
(570) 207-5314
Mailing address
1789 N KEYSER AVE, SCRANTON, PA 18508-1250
(570) 969-1904
(570) 969-2916

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD048304L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001245
FIRST PRIORITY HEALTHNEPA
PA
05
0014126800001
PA
01
010175800
BLACK LUNG
PA
01
0536755
AETNA
PA
01
0638250000
PABS PERSONAL CHOICE
PA
01
080041674
RAILROAD MEDICARE
PA
01
11230 E476
GEISINGER HEALTH PLAN
PA
01
242159
HEALTH AMERICA
PA
01
734400
FIRST PRIORITY LIFE
PA
01
F52043
STERLING
PA
Enumeration date
09/27/2006
Last updated
11/23/2021
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