Individual
SLAWOMIR TADEUSZ NIEWIADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7592 METROPOLITAN DR, SUITE 405-407, SAN DIEGO, CA 92108-4428
(619) 297-4900
(619) 297-5460
Mailing address
7592 METROPOLITAN DR, SUITE 400, SAN DIEGO, CA 92108-4428
(619) 325-8726
(619) 325-8728
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A50674
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A50674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A506740
—
CA
Enumeration date
07/31/2006
Last updated
06/20/2008
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