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Individual

DR. MARY LOUISE TURKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
187899
NY
2085R0202X
Diagnostic Radiology Physician
Primary
187899
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026681804
UNIVERA HEALTHCARE
NY
01
000511574008
BCBS
NY
05
01371613
NY
01
040426000332
FIDELIS CARE OF NEW YORK
NY
01
146156FF
PREFERRED CARE
NY
01
1609206
INDEPENDENT HEALTH
NY
01
300080553
RR MEDICARE
NY
Enumeration date
01/28/2006
Last updated
11/01/2018
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