Organization
PATHOLOGY AT JEANES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CZULEWICZ MD (CHAIRMAN)
(215) 728-2040
Entity
Organization
Contact information
Practice address
7600 CENTRAL AVENUE, PHILADELPHIA, PA 19111
(215) 728-2040
(215) 728-2064
Mailing address
7600 CENTRAL AVENUE, PHILADELPHIA, PA 19111
(215) 728-2040
(215) 728-2064
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010060310001
—
PA
Enumeration date
04/11/2006
Last updated
01/15/2015
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