Individual
DR. BRUCE R PAWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, MAIN BLDG - 5TH FLR - ROOM 5130, PHILADELPHIA, PA 19104-4306
(215) 590-2266
(215) 590-2171
Mailing address
3400 CIVIC CENTER BLVD, MAIN BLDG - 5TH FLR - ROOM 5130, PHILADELPHIA, PA 19104-4306
(215) 590-2266
(215) 590-2171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA47438
NJ
174400000X
Specialist
Primary
MD051049L
PA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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