Individual
JERZY H CIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 665-1717
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(800) 938-2828
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0061813
MD
207L00000X
Anesthesiology Physician
MD060913L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101136060
—
PA
05
—
3810001267
—
WV
05
—
405686800
—
MD
01
—
P00203575
RAILROAD MEDICARE
MD
Enumeration date
10/04/2005
Last updated
02/22/2013
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