Individual
DR. GREGORY J CZUCZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-39909
KS
2085R0202X
Diagnostic Radiology Physician
239318
MA
2085R0202X
Diagnostic Radiology Physician
29962
NE
2085R0202X
Diagnostic Radiology Physician
Primary
52616
CO
2085R0202X
Diagnostic Radiology Physician
MD19075
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257108
MEDICARE PIN
KS
05
—
1245411958
—
CO
01
—
561677YQ33
MEDICARE PIN
CO
01
—
561677YQN9
MEDICARE PIN
CO
01
—
561677YQPG
MEDICARE PIN
CO
01
—
561677ZLJ3
MEDICARE PIN
CO
01
—
561677ZNTB
MEDICARE PIN
CO
01
—
KA3249099
MEDICARE PIN
KS
01
—
NA1214115
MEDICARE PIN
NE
01
—
NA1215116
MEDICARE PIN
NE
01
—
NA2517094
MEDICARE PIN
NE
Enumeration date
11/21/2007
Last updated
12/09/2022
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