Individual
STEPHEN JOSEPH GAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD474514
PA
207P00000X
Emergency Medicine Physician
MT216071
PA
Other
Enumeration date
06/13/2018
Last updated
07/01/2021
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