Individual
JOAN M. GRZYBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6380
(215) 871-6381
Mailing address
PO BOX 824112, PHILADELPHIA, PA 19182-2547
(215) 871-6380
(215) 871-6381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006483L
PA
208D00000X
General Practice Physician
OS006483L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000437
AETNA HMO
PA
05
—
0012242500001
—
PA
01
—
009163
HIGHMARK BLUE SHIELD
PA
01
—
009163GFH
HGSA
PA
01
—
0122425001
AMERICHOICE (UHC MA PLAN)
PA
01
—
0191601000
IBC - PC/KHPE
PA
01
—
080142306/CC4910
RRM
PA
01
—
1027872
KEYSTONE MERCY
PA
01
—
10928051
CAQH ID#
PA
01
—
1105398
KEYSTONE MERCY
PA
01
—
16523-OS006483L
HEALTH PARTNERS
PA
01
—
17713-OS006483L
HEALTH PARTNERS
PA
01
—
2260420
AETNA HMO
PA
01
—
249621
PHCS
PA
01
—
4279361
AETNA PPO
PA
01
—
4837399
CIGNA HMO/PPO
PA
01
—
P00176615/DC5012
RRM
PA
Enumeration date
06/09/2006
Last updated
08/06/2019
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